RESULTS OF UTERINE ARTERY EMBOLIZATION IN THE TREATMENT OF SYMPTOMATIC UTERINE MYOMA
https://doi.org/10.20862/0042-4676-2014-0-6-29-32
Abstract
Objective: to evaluate the uterus and myomatous nodules by ultrasonography and magnetic resonance imaging in different periods after uterine artery embolization (UAE).
Material and methods. UAE was performed in 632 patients with different forms of uterine myoma. With this aim in mind, 120 cases with different forms of uterine myoma were analyzed.
Results. Following 1, 3, 6, and 12 months, the reduction in myomatous nodules was estimated to be 18.4 and 17.3, 40.7 and 42.9, 60.4 and 61.8 and 72.5 and 74.7%, respectively (p<0.05). Necrotic exposure of a nodule, expulsion of myomatous nodules, and removal of a partially nascent submucous nodule were observed in 18 (15%) patients. Laparoscopic myomectomy of subserous myomatous nodules was carried out in 12 (10%) cases after UAE. In doing this, interoperative blood loss was 50–80 ml.
Conclusion. UAE is an organ-sparing, highly effective uterine myoma treatment performed alone or in combination with surgery in relation to its different forms.
About the Authors
M. T. Aliakparov
Karaganda State Medical University
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Academician of National Academy of Sciences of the Republic of Kazakhstan, Head of Department of Imaging
ul. Gogolya, 40, Karaganda, 100000
B. Kh. Abishev
National Research Center of Maternity and Childhood
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Head of Radiology Department
prospekt Turan, 32, Astana, 010000
D. M. Tazhibaev
National Research Center of Maternity and Childhood,
Karaganda State Medical University
Russian Federation
Russian Federation
Radiologist
prospekt Turan, 32, Astana, 010000
ul. Gogolya, 40, Karaganda, 100000
E. S. Pitel’
Karaganda State Medical University
Russian Federation
Russian Federation
MD, PhD, Assistant of Department of Imaging
ul. Gogolya, 40, Karaganda, 100000
References
1. Olive D. Review of the evidence for treatment of leiomyomata. Environmental Health Perspectives. 2000; 108 (Suppl. 5): 841–3.
2. Duhan N. Current and emerging treatments for uterine myoma – an update. Int. J. Womens Health. 2011; 3: 231–41.
3. Isonishi S., Coleman R., Hirama M. et al. Analysis of prognostic factors for patients with leiomyoma treated with uterine arterial embolization. Am. J. Obstet. Gynecol. 2008; 19: 270–8.
4. Goodwin S., Vedantham S., McLucas B. et al. Preliminary experience with uterine artery embolization for uterine fibroids. J. Vasc. Intervent. Radiol. 1997; 8: 517–26.
5. Worthington-Kirsch R.L. Flow redistribution during uterine aftery embolization for the management of symptomatic fibroids. J. Vasc. Intervent. Radiol. 1999; 10 (2): 237–8.
6. Spies J.B., Ascher S.A., Goodwin S. Uterine artery embolization for leiomyomata. Obstet. Gynecol. 2001; 98: 29–34.
7. Brunereau L., Herbreteau D., Gallas et al. Uterine artery embolization in the primary treatment of uterine leiomyomas: Technical features and prospertive follow-up with clinical and sonographic examination in 58 patients. Am. J. Roentgenol. 2000; 175: 1267–72.
8. Toor S.S., Jaberi A., Macdonald D.B., McInnes M.D., Schweitzer M.E., Rasuli P. Complication rates and effectiveness of uterine artery embolization in the treatment of symptomatic leiomyomas: a systematic review and meta-analysis. Am. J. Roentgenol. 2012; 199 (5): 1153–63.
9. Vedantham S., Goodwin S., McLucas B., Mohr G. Uterine artery embolization. Am. J. Obstet. Gynecol. 1997; 176: 938–48.
10. Bobrov B., Kapranov S., Breusenko V., Dobrokhotova Yu., Krasnova I., Aksenova V., Aryutin D. Uterine artery embolization: a modern view of the problem. Diagn. Interv. Radiol. 2007; 1 (2): 56–70.
11. Lumsden M. Embolization versus myomectomy versus hysterectomy: Which is best, when? Hum. Reprod. 2002; 17 (2): 253–9.
12. Horhoianu I.A., Horhoianu V.V., Joita D., Carstoiu M., Dorobat B. Uterine artery embolization for leioyomas, ultrasonography and angiography aspects. J. Med. Life. 2012; 5 (4): 491–5.
13. Hutchins F., Worthington-Kirsch R., Berkowitz R. Selective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri: A review of 305 consecutive cases. J. Am. Assoc. Gynecol. Laparosc. 1999; 6 (3): 279–89.
14. Abbara S., Spies J., Scaialli A. et al. Transcervical expulsion of fibroids result of uterine artery embolization of leiomyomata. J. Vasc. Intervent. Radiol. 1999; 10 (4): 409–11.
Review
For citations:
Aliakparov M.T., Abishev B.Kh., Tazhibaev D.M., Pitel’ E.S. RESULTS OF UTERINE ARTERY EMBOLIZATION IN THE TREATMENT OF SYMPTOMATIC UTERINE MYOMA. Journal of radiology and nuclear medicine. 2014;(6):29-32. (In Russ.) https://doi.org/10.20862/0042-4676-2014-0-6-29-32
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