Analysis of the clinical effect of interventional therapy on the patients with uterine gland muscle disease

In: Chin J Inter Rad(Electronic Edition) · 2015 · vol. 3(3) , pp. 132–134 · doi:10.3877/cma.j.issn.2095-5782.2015.03.005 · W3029122948
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AI-generated summary by claude@2026-07, 2026-07-09

Interventional therapy in 85 patients with uterine gland muscle disease demonstrated a 100% success rate with significant improvements in hemoglobin and uterine volume, and no serious complications.

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The paper retrospectively analyzed 85 patients with “uterine gland muscle disease” (uterine adenomyosis) treated with an interventional approach, evaluating postoperative outcomes and complications. After uterine artery embolization, the success rate was reported as 100% (85/85), and ultrasound examinations at 6–12 months showed reductions in uterine and lesion volumes along with higher hemoglobin levels versus baseline; no serious complications were reported, with statistically significant differences (P<0.05). The study’s main limitation is that it is retrospective with a relatively short follow-up window and does not include a comparison group to determine relative effectiveness. This paper is centrally about endometriosis and/or adenomyosis—specifically adenomyosis—evaluating clinical effects of uterine artery embolization in patients with uterine gland muscle disease.

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Abstract

Objective To investigate the clinical effect of interventional therapy on the patients with uterine gland muscle disease. Methods Retrospective analysis of the clinical data of 85 cases of patients with uterine gland muscle disease were treated with interventional therapy, the effect and complications were analyzed. Results The success rate was 100% (85/85), interventional therapy after 6 to 12 months were examined with CDFI visible and uterine lesions volume varying degrees of narrowing, after treatment, hemoglobin levels higher than that before treatment, uterine volume less than that before treatment, the differences were statistically significant (P<0.05), no serious complications occurred. Conclusions Uterine artery embolization in the treatment of uterine gland muscle disease is clinical safe and effective, it is worth to be popularized in clinical practice. Key words: Radiology, interventional; Adenomyosis; Curative effect
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Objective

To investigate the clinical effect of interventional therapy on the patients with uterine gland muscle disease.

Methods

Retrospective analysis of the clinical data of 85 cases of patients with uterine gland muscle disease were treated with interventional therapy, the effect and complications were analyzed.

Results

The success rate was 100% (85/85), interventional therapy after 6 to 12 months were examined with CDFI visible and uterine lesions volume varying degrees of narrowing, after treatment, hemoglobin levels higher than that before treatment, uterine volume less than that before treatment, the differences were statistically significant (P<0.05), no serious complications occurred.

Conclusions

Uterine artery embolization in the treatment of uterine gland muscle disease is clinical safe and effective, it is worth to be popularized in clinical practice. | 1 | Valentini AL, Speca S, Gui B, et al. Adenomyosis: from the sign to the diagnosis. Imaging, diagnostic pitfalls and differential diagnosis: a pictorial review[J]. Radiol Med, 2011,116(8):1267-1287. | | 2 | 张丽君,涂长玉,杨志永,等.腹腔镜下子宫动脉阻断术与促性腺激素释放激素激动剂治疗子宫腺肌病的研究[J].中华临床医师杂志:电子版,2011,5(16):4858-4861. | | 3 | 成开花,张立新.促性腺激素释放激素激动剂治疗子宫内膜异位症对性激素及骨密度的影响及处理方法[J].山东大学学报:医学版,2012,50(3):83-87. | | 4 | Ravina JH, Herbreteau D, Vigneron N, et al. Arterial embolisation to treat uterine myomat[J]. Lancet, 1995,346(8976):671-672. | | 5 | MeLucas B, Perrella R, Adle L. Embolization for the treatment of adenomyosis[J]. AJR Am J Roentgenol, 2002,178(4):1028-1029. | | 6 | Nijenhuis RJ, Smeets AJ, Morpurgo M, et al. Uterine artery embolisation for symptomatic adenomyosis with polyzene f-coated hydrogel microspheres: three year clinical follow-up using UFS-QoL Questionnaire[J]. Cardiovasc Intervent Radiol, 2015,38(1):65-71. | | 7 | 姚群立,陆建东,徐向荣,等.子宫动脉栓塞治疗弥漫型子宫腺肌症的中、远期随访分析[J].介入放射学杂志,2013,22(11):896-899. | | 8 | Popovic M, Puchner S, Berzaczy D, et al. Uterine artery embolisation for the treatment of adenomyosis: a review [J]. Vasc Interv Radiol, 2011,22(7):901-909. | | [1] | 张启龙, 柳亿, 卢会丽, 罗慧, 李成林, 王菁, 王辉. 奥妥珠单抗治疗磷脂酶A2受体相关膜性肾病的疗效与安全性:单中心回顾性分析[J/OL]. 中华危重症医学杂志(电子版), 2024, 17(05): 379-384. | | [2] | 王杰, 袁泉, 王玥琦, 乔佳君, 谭春丽, 夏仲元, 刘守尧. 溃疡油在糖尿病足溃疡治疗中的应用效果及安全性观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 480-484. | | [3] | 聂生军, 王钰, 王毅, 鲜小庆, 马生成. 复方倍他米松局部注射联合光动力疗法治疗小型瘢痕疙瘩的临床疗效观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(05): 404-410. | | [4] | 莫淇舟, 苏劲, 黄健, 李健维, 李思宁, 柳建军. 智能控压输尿管软镜碎石吸引取石术在直径10~25 mm上尿路结石中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(05): 497-502. | | [5] | 李义亮, 苏拉依曼·牙库甫, 麦麦提艾力·麦麦提明, 克力木·阿不都热依木. 机器人与腹腔镜食管裂孔疝修补术联合Nissen 胃底折叠术短期疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 512-517. | | [6] | 周艳, 李盈, 周小兵, 程发辉, 何恒正. 不同类型补片联合Nissen 胃底折叠术修补食管裂孔疝的疗效及复发潜在危险因素[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 528-533. | | [7] | 王小琴, 汪丽, 崔建英. 无张力疝修补术治疗慢性肾功能衰竭合并腹股沟疝患者的疗效[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 538-542. | | [8] | 王亚岚, 倪婧, 余世庆, 陶银花, 张荣. 尼达尼布抗纤维化治疗特发性肺纤维化的耐受性和疗效预测因素分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 750-755. | | [9] | 詹济玮, 蔡柳春, 温琼娜, 郭石生, 温春妹, 温鹤明. 布地格福联合噻托溴铵治疗AECOPD 的临床分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 823-826. | | [10] | 梁艳娉, 列诗韵, 王艺穗, 吴晓瑛, 林颖. 基于内镜操作细节记录系统构建胃底静脉曲张内镜下组织胶注射术的标准化管理方案[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 705-709. | | [11] | 陈杰, 武明胜, 李一金, 李虎, 向源楚, 荣新奇, 彭健. 低位直肠癌冷冻治疗临床初步分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 494-498. | | [12] | 史彬, 司远. 益气和络方联合缬沙坦治疗气阴两虚兼血瘀证IgA 肾病的疗效观察[J/OL]. 中华肾病研究电子杂志, 2024, 13(06): 306-312. | | [13] | 韩俊岭, 王刚, 马厉英, 连颖, 徐慧. 维生素D 联合匹维溴铵治疗腹泻型肠易激综合征患者疗效及对肠道屏障功能指标的影响研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 560-564. | | [14] | 阳跃, 庹晓晔, 崔子豪, 欧阳四民, 林海阳, 胡景宇, 胡银, 李涛, 赵景峰, 郝岱峰, 冯光. 改良“阅读者”皮瓣修复骶尾部压疮的疗效[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 751-755. | | [15] | 克地尔牙·马合木提, 胡波, 杨琼, 闫素, 胡岚卿, 高沛沛, 姚恩生. 依达拉奉右莰醇对急性脑梗死后认知功能障碍的疗效观察[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 459-466. | | 阅读次数 | ||||| | 全文 | | |||| | 摘要 | | |||| 版权所有 中华医学会 中华医学电子音像出版社有限责任公司 京ICP备14006079号-1 网络出版服务许可证:(署)网出证(京)字第075号 AI 小 编 AI小编

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