Risner Victoria, Gonzales Estefania, McColgan Yuko, Salazar Gloria
Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Yuko McColgan MD, LLC, Brookline, MA, USA.
Cardiovasc Intervent Radiol. 2024 Nov 22. doi: 10.1007/s00270-024-03823-9.
Chronic pelvic pain (CPP) affects about one in four women globally and has a variety of etiologies, including gynecologic causes. Interventional radiology (IR) offers minimally invasive treatment options for several of these etiologies.
This review provides an overview of IR interventions for treating gynecologic causes of CPP, including fibroids, adenomyosis, pelvic venous disease (PeVD), endometriosis, and peritoneal inclusion cysts (PICs).
A narrative review was conducted on IR techniques for managing gynecologic causes of CPP, with emphasis on procedural applications, clinical presentation, and diagnostic approaches.
Uterine artery embolization (UAE) has shown effectiveness in treating fibroids and is increasingly applied for adenomyosis, while gonadal vein embolization is effective for managing PeVD. Emerging IR techniques show promise for treating endometriosis and PICs. This review discusses patient presentation, diagnostic evaluation, and procedural details unique to each condition.
As IR options for CPP expand, a comprehensive understanding of the clinical and procedural nuances can broaden the scope of effective treatment options.
慢性盆腔疼痛（CPP）在全球约四分之一的女性中存在，其病因多样，包括妇科原因。介入放射学（IR）为其中几种病因提供了微创治疗选择。
本综述概述了用于治疗CPP妇科病因的IR干预措施，包括子宫肌瘤、子宫腺肌病、盆腔静脉疾病（PeVD）、子宫内膜异位症和腹膜包涵囊肿（PICs）。
对管理CPP妇科病因的IR技术进行了叙述性综述，重点关注程序应用、临床表现和诊断方法。
子宫动脉栓塞术（UAE）已显示出治疗子宫肌瘤的有效性，并且越来越多地应用于子宫腺肌病，而性腺静脉栓塞术对管理PeVD有效。新兴的IR技术在治疗子宫内膜异位症和PICs方面显示出前景。本综述讨论了每种病症独特的患者表现、诊断评估和程序细节。
随着CPP的IR选择不断扩展，对临床和程序细微差别的全面理解可以拓宽有效治疗选择的范围。
