Interventional embolization therapy for adenomyosis

Objective To assess the value of uterine artery embolization in treatment of adenomyosis.Methods Fifteen adenomyosis patients received uterine artery angiography.Sodium polymannuronate particles(KMG)or polyvinyl alcohol particles(PVA)was used to embolize the uterine capillary bed.After follow-up for 3 and 6 months,all cases were reexamined by MR or ultrasound,respectively.Results The menorrhagia was controlled and the symptoms of anemia were released.Dysmenorrhoea disappeared or obviously released in 12 cases,and no one recurred after follow-up for 6 months.In other three cases,all symptoms above alleviated at 3 month after operation,but relapsed at 6 month.MR or sonography showed that the blood-flow signal within uterine artery decreased obviously after embolization.Conclusion Interventional uterine arterial embolization is an effective and less invasive way to treat adenomyosis.