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Selective Uterine Arteries Embolization to Treat 62 Uterine Leiomyoma

Jiang Ling,Da Jian,Ke Yaojun,et al.Wuhan Railway Central Hosptal,Wuhan 430064  
Objective To assess the clinical effects of selective uterine arterial embolization on uterine leiomyoma.Methods We treated 62 symptomatic leiomyoma by Seldnger's selective uterine arterial embolization.An 4F or 5F arteries catheter was catheterized into the contralateral internal illiac artery after unilateral transcutaneous femoral artery puncture.Pelvic arteriography was used to identify uterine arteries and tumor hypervascularisation.And then,we introduced inert particles of silk by the selective uterine arteries catheter until the blood supply of leiomyoma was obstructed.Results Arteriography showed that uterine leiomyoma was susficiently supplied by both sides of uterine arteries(95%),only one side artery was major.When both uterine arteries were embolised,the blood supply of leiomyoma would be completely stopped.The mean followup peroids was 6~24 months,which showed the uterine leiomyoma reduced in volume,menorrhagia controlled,menstrual cycles returned to normal and anemia resolved.Conclusion Selective uterine arterial embolization is an effective new way to treat uterine leiomyoma with little trauma.Further effects of it should be observed continuously.
【CateGory Index】: R737.33
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