[Uterine arterial embolization in the treatment of adenomyosis].

Zhonghua fu chan ke za zhi · 2002 · vol. 37(2) , pp. 77–9 · PMID:11953068 · W2462795374
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Uterine arterial embolization (UAE) effectively reduced symptoms and uterine volume in 23 adenomyosis patients, with most experiencing symptom relief and significant uterine shrinkage post-procedure.

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Abstract

OBJECTIVE: To assess the clinical efficacy of uterine arterial embolization (UAE) in the treatment of adenomyosis. METHODS: UAE procedures were performed in 23 patients with adenomyosis. Two 3.0 F FASTRACKER-325 tubes were placed into bilateral uterine arteries respectively and the fresh gelfoam particles mixed with antibiotic drugs were used to embolise the arteries. After treatment the symptoms and uterine volume of all patients were investigated. RESULTS: All clinical symptoms of 23 patients relieved. Dysmenorrhea completely disappeared in 19 patients, significantly alleviated in 2 patients. But in other 2 recurred. The uterine volume shrunk significantly [(50 +/- 18)%] vs [(100 +/- 0)%]. The blood flow within the uterine and lesions detect by color doppler flow imaging decreased immediately after UAE. Low-abdominal pain and slight fever were seen after treatment and recovered within 1 - 2 weeks. CONCLUSION: UAE is an effective and safe method in the treatment of adenomyosis.

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Condition tags

dysmenorrheaendometriosisadenomyosis

MeSH descriptors

Embolization, Therapeutic Endometriosis Uterine Diseases Uterus Abdominal Pain Abdominal Pain Adult Blood Flow Velocity Dysmenorrhea Dysmenorrhea Embolization, Therapeutic Embolization, Therapeutic Endometriosis Female Fever Fever Humans Uterine Diseases Uterus

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