Ghafarzadeh Masoumeh, Marzban-Rad Saeid, Sattari Parastesh, Taheri Hamid Reza
Department of Obstetrics and Gynecology, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Surgery, Imam-Reza Hospital, Aja University of Tehran Medical Sciences, Tehran, Iran.
Ann Med Surg (Lond). 2022 May 3;77:103722. doi: 10.1016/j.amsu.2022.103722. eCollection 2022 May.
Uterine artery embolization is a non-surgical method performed for large and numerous fibroids to preserve the fertility.
The patient is a 36-year-old virgin woman with menometrorrhagia, abdominal pressure, constipation, bilateral abdominal pain, frequent urination and a compressive effect on the intestines was reported to our center. She was diagnosed with uterine fibroids.
Because the type of uterine masses and possibility of uncontrollable bleeding during myomectomy and hysterectomy, uterine vascular embolization by supra selective angiography to preserve the uterus was performed. Due to fever, pain and vaginal discharge, she was hospitalized again and hysterotomy was performed without any reported complications.
Uterine artery embolization is a safe method, however reduction and loss in ovarian function can be seen with the treatment. Measurement of follicle stimulating hormone and anti-Müllerian hormone before and after the treatment is important.
子宫动脉栓塞术是一种用于治疗大型多发性子宫肌瘤以保留生育能力的非手术方法。
该患者为一名36岁的未婚女性，因月经过多、腹部坠胀、便秘、双侧腹痛、尿频以及对肠道的压迫作用前来我院就诊。她被诊断为子宫肌瘤。
由于子宫肿块的类型以及肌瘤切除术和子宫切除术中不可控出血的可能性，通过超选择性血管造影进行子宫血管栓塞以保留子宫。因发热、疼痛和阴道分泌物，她再次住院并接受了子宫切开术，未报告任何并发症。
子宫动脉栓塞术是一种安全的方法，然而治疗后可能会出现卵巢功能减退和丧失。治疗前后测量促卵泡生成素和抗苗勒管激素很重要。
