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症状性子宫肌瘤的子宫动脉栓塞术：日本介入放射学会2021年操作指南：英文版

Uterine Artery Embolization for Symptomatic Uterine Myomas: Japanese Society of Interventional Radiology Procedural Guidelines 2021: English Version.

作者信息

Yata Shinsaku, Sone Miyuki, Seiji Kazumasa, Izumi Yuichiro, Murakami Yu, Higashihara Hiroki, Ueshima Eisuke, Sugiyama Munehiro, Komada Tomohiro, Morita Satoru, Kato Hitomi, Kuwatsuru Ryohei, Adachi Akira, Matsumoto Tomohiro, Yamagami Takuji

机构信息

Department of Radiology, Tottori University, Japan.

Department of Diagnostic Radiology, National Cancer Center, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2025 Sep 3;10:e20240025. doi: 10.22575/interventionalradiology.2024-0025. eCollection 2025.

DOI:10.22575/interventionalradiology.2024-0025
PMID:41001075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12460036/
Abstract

Uterine artery embolization is a treatment option for symptomatic uterine myomas. The Japanese Society of Interventional Radiology Guideline Committee developed guidelines for uterine artery embolization procedures for symptomatic uterine myomas using an evidence-based methodology. This report describes the rationale for developing these guidelines and provides answers to clinical questions concerning uterine artery embolization procedures based on existing evidence and expert consensus.

摘要

子宫动脉栓塞术是有症状子宫肌瘤的一种治疗选择。日本介入放射学会指南委员会采用循证方法制定了有症状子宫肌瘤子宫动脉栓塞术的指南。本报告阐述了制定这些指南的基本原理，并根据现有证据和专家共识，对有关子宫动脉栓塞术的临床问题给出解答。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f31/12460036/c854e8154a98/2432-0935-10-e2024-0025-t002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f31/12460036/c854e8154a98/2432-0935-10-e2024-0025-t002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f31/12460036/c854e8154a98/2432-0935-10-e2024-0025-t002.jpg

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本文引用的文献

1
Intra-arterial lidocaine administration during uterine fibroid embolization to reduce the immediate postoperative pain: a prospective randomized study.子宫肌瘤栓塞术中动脉内注射利多卡因以减轻术后即刻疼痛：一项前瞻性随机研究。
CVIR Endovasc. 2020 Feb 10;3(1):10. doi: 10.1186/s42155-020-0099-4.
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Comparison of outcomes and cost-effectiveness of trisacryl gelatin microspheres alone versus combined trisacryl gelatin microspheres and gelatin sponge embolization in uterine fibroid embolization.子宫纤维瘤栓塞中单纯使用三丙烯明胶微球与三丙烯明胶微球联合明胶海绵栓塞的疗效及成本效益比较。
Acta Radiol. 2020 Sep;61(9):1287-1296. doi: 10.1177/0284185119898660. Epub 2020 Jan 19.
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Differential Diagnosis of Uterine Leiomyoma and Uterine Sarcoma using Magnetic Resonance Images: A Literature Review.
利用磁共振成像对子宫平滑肌瘤和子宫肉瘤进行鉴别诊断：文献综述
Healthcare (Basel). 2019 Dec 5;7(4):158. doi: 10.3390/healthcare7040158.
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Intra-Arterial Lidocaine Administration for Anesthesia after Uterine Artery Embolization with Trisacryl Gelatin Microspheres for Leiomyoma.经三丙烯明胶微球子宫动脉栓塞术治疗子宫肌瘤后行动脉内利多卡因给药麻醉。
J Vasc Interv Radiol. 2020 Jan;31(1):114-120. doi: 10.1016/j.jvir.2019.09.007. Epub 2019 Nov 26.
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Transradial and Transfemoral Uterine Fibroid Embolization Comparative Study: Technical and Clinical Outcomes.经桡动脉和经股动脉子宫肌瘤栓塞术的比较研究：技术和临床结果。
J Vasc Interv Radiol. 2020 Jan;31(1):123-129. doi: 10.1016/j.jvir.2019.08.016. Epub 2019 Nov 23.
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The Value of Utero-Ovarian Anastomosis in Uterine Artery Embolization is Still Controversial.子宫动脉栓塞术中子宫-卵巢吻合术的价值仍存在争议。
Cardiovasc Intervent Radiol. 2020 Feb;43(2):350-351. doi: 10.1007/s00270-019-02377-5. Epub 2019 Nov 12.
7
Angiographic Detection of Utero-Ovarian Anastomosis and Influence on Ovarian Function After Uterine Artery Embolization.子宫动脉栓塞术后子宫-卵巢吻合支的血管造影检测及其对卵巢功能的影响。
Cardiovasc Intervent Radiol. 2020 Feb;43(2):231-237. doi: 10.1007/s00270-019-02305-7. Epub 2019 Sep 17.
8
Pain Management Protocols During Uterine Fibroid Embolisation: A Systematic Review of the Evidence.子宫肌瘤栓塞术中的疼痛管理方案：系统评价证据。
Cardiovasc Intervent Radiol. 2019 Dec;42(12):1663-1677. doi: 10.1007/s00270-019-02327-1. Epub 2019 Sep 13.
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The impact of uterine artery embolization on ovarian reserve: A systematic review and meta-analysis.子宫动脉栓塞术对卵巢储备功能的影响：系统评价和荟萃分析。
Acta Obstet Gynecol Scand. 2020 Jan;99(1):16-23. doi: 10.1111/aogs.13698. Epub 2019 Aug 26.
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