McLucas Bruce, Voorhees William D
Department of Obstetrics and Gynecology, University of California, Los Angeles David Geffen School of Medicine , Los Angeles, CA , USA.
Minim Invasive Ther Allied Technol. 2014 Dec;23(6):361-5. doi: 10.3109/13645706.2014.939589. Epub 2014 Jul 18.
Objective: To evaluate the safety and efficacy of uterine artery embolization combined with endoscopic myomectomy.
We conducted a retrospective chart review of patients (n = 125) who underwent myomectomy concurrent with embolization within one month. We assessed two groups: 1) uterine artery embolization followed by hysteroscopic myomectomy and 2) uterine artery embolization followed by laparoscopic myomectomy.
Following the combination procedures, 72% of the surveyed women reported symptom improvement. With the combined procedures, 92.5% of patients experienced reduction in myoma diameter and 87.5% of patients had decreased uterine size after an average of 4.70 months post subsequent procedure. The amount of decrease in the uterine volume (p = 0.39) and fibroid size (p = 0.23) were not significant between the two endoscopic myomectomy groups.
Combining myomectomy with uterine artery embolization is a safe and effective procedure in treating symptoms and reducing myoma and uterine volumes.
目的：评估子宫动脉栓塞联合内镜下子宫肌瘤切除术的安全性和有效性。
我们对在1个月内同时接受栓塞术和子宫肌瘤切除术的患者（n = 125）进行了回顾性病历审查。我们评估了两组：1）子宫动脉栓塞后行宫腔镜子宫肌瘤切除术和2）子宫动脉栓塞后行腹腔镜子宫肌瘤切除术。
联合手术后，72%的受访女性报告症状改善。采用联合手术，平均在后续手术后4.70个月，92.5%的患者肌瘤直径减小，87.5%的患者子宫大小减小。两组内镜下子宫肌瘤切除术之间子宫体积（p = 0.39）和肌瘤大小（p = 0.23）的减小量无显著差异。
子宫肌瘤切除术与子宫动脉栓塞联合是治疗症状、减小肌瘤和子宫体积的安全有效方法。
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