MONITORING OF ovarian FUNCTION AFTER TREATING WITH UTERINE ARTERIAL EMBOLIZATION

[Objective]To explore the ovarian dysfunction caused by uterine artery embolization(UAE)for treatment of gynecological benign diseases and its preventive methods.[Methods]The clinical data of 554 patients with gynecological benign diseases treated by UAE in our hospital were analyzed by retrospective analysis.Out of them,416 patients were diagnosed as uterus myoma,138 patients were uterus adenomyosis,5 patients were ectopic pregnancy and 2 were postpartum hemorrhage.Meanwhile,the angiotomy,blood vessel imageology and the use of microcatheter of patients with ovarian dysfunction were discussed.[Results]Out of 554 patients with ovarian dysfunction,56 patients developed to be different degree of ovarian dysfunction,the incidence was 10.1%,6 patients happened amenorrhea(1.1%),29 patients were metrorrhagia(5.2%),and 27 patients were oligomenorrhea(4.9%).56 patients were treated with bilateral UAE.The reason of ovarian dysfunction was the embolism induced ovarian branches when the embolism agents was in the uterine artery.[Conclusion]Patients with gynecological benign diseases treated by UAE have risk of developing ovarian dysfunction.Unclear anatomy,non-proficiency operation and non-accurate discrimination of blood vessel were the main reason of developing ovarian dysfunction after treating with UAE.