• 作者：Laura Costa^a ; ^{lcosta@tauli.cat} ; Jordi Costa^a ; Joan Falcó ; ^b ; Patricia Bermudez^b ; Joan Perandreu^b ; Laia Ribot^a ; Á ; ngel Ló ; pez-Muñ ; iz^a ; Yolanda Canet^a
• 关键词：Mioma ; Embolizació ; n arterias uterinas ; Radiologí ; a intervencionista
• 刊名：Progresos de Obstetricia y Ginecolog¨ªa
• 出版年：2009
• 出版时间：September 2009
• 年：2009
• 卷：52
• 期：9
• 页码：479-490
• 全文大小：525 K

Objective

To evaluate the mid-term outcomes and patient satisfaction following UAE in women with symptomatic leiomyomata, as well as to assess safety treatment.

Material and methods

Prospective study of 90 patients from Sabadell Hospital between December 2002 and October 2006.

Data were collected using a questionnaire and was later introduced in a specific database. Statistical analysis of data was carried out using SPSS 15.0.

All patients went on a 2-year follow-up after UAE, including clinical, laboratory and diagnostic imaging examinations.

Symptoms were scored as successful, improvement, unchanged or worsened. Adverse events were noted following the Society of Interventional Radiology's classification. Patients were also asked about their satisfaction.

The need of an eventual hysterectomy or the persistence of symptoms was considered to be a treatment failure.

Results

The improvement of symptoms occurred in 90,7 % of all the embolized women. We had to perform a second embolization in 4 cases, and a hysterectomy in 6 cases.

6 months later, null vascularisation or hypovascularisation of the myoma was observed in 92.8 % of women. Over two years, the average volume reduction of the dominant myoma was 76.3 % .

The rate of major complications was 12.7 % . Patient satisfaction for the procedure was 90.2 % .

Conclusions

Uterine artery embolization is an effective treatment for women with symptomatic uterine leiomyomata, being well accepted by the patients in the mid-term follow-up.