Clinical Research on Arterial Embolism on Treating Endometrioma

Objective To explore the clinical effects on arterial embolism on endometrioma.Methods Bilateral internaliliac-uterine artery contrast examinations were made with Seldinger technique to explore the blood supply of endometrioma.Arterial embolism was performed by inserting microcatheter into the distal part of the artery which provided blood for endometrioma.Results All of the uteri arteries in 30 cases of endometrioma extended from the homolateral internaliliac arteries.Bilateral uterine arteries provided enough blood for endometrioma.18 cases(60 %) showed advantages in bilateral blood supply.10 cases(33 %) showed that one of the bilateral arteries could provide more blood than the other.Only 2 cases(6.6 %) had unilateral blood supply.Clinical symptoms disappeared in all cases after embolism.The 3-month,6-month and 12-month reexaminations indicated that the endometrioma shrank by 40 %,60 % and 65 % respectively.The total clinical efficacy was 100 %.Conclusion Arterial embolism can produce good curative effects and deserves to be widely spread clinically for its safety,microtrauma and feasibility.