The Clinical Study on Symptomatic Adenomyosis Treated by Transcatheter Uterine Artery Embolization

[Objective]To investigate the efficiency of transcatheter uterine artery embolization (TUAE) for the treatment of symptomatic adenomyosis.[Materials and Methods]Bilateral uterine aterial embolization with Lipiodol, pingyangmycin emulsion and Gelfoam strip was carried out in all patients. Lipiodol of 8～10ml (mean 9 ml) ,pingyang mycin of 8mg and Gelfoam strip 1.0～1.5 flaps were used.[Results]The mean duration of follow-up was 20.2 months. Improvement of dysmenorrhoea was obtained at the rate of 100.0% (completely disappeared at 85.7%), and improvement of menorrhagia at 100%. The hemoglobin concentration was significantly increased or restored to normal in 6 months after the surgery. Ultrasonic reexamination 6 months after TUAE showed that the uterine volume was decreased by a mean of 46.6%.No serious complications occurred in all cases.[Conclusion]TUAE shows good effect in the treatment of symptomatic adenomyosis although large sample is needed for further observations.