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[Interventional therapy in the treatment of hysteromyoma]
Shun-ke Zhou1, Shao-bo Li, Hong-wen Zhang
1Department of Radiology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Objective:
To study the clinical effect of bilateral super-selective arterial embolism therapy in the treatment of fibroids.
Methods:
Twenty-eight cases of symptomatic uterine myoma were treated by Seldinger's bilateral super-selective uterine artery embolization. The changes of the clinical symptoms and volume of the uterus and myoma were observed with a mean follow-up of 3 and 6 months.
Results:
Arteriography showed that hysteromyomas were bloody tumor, supplied by bilateral uterine arteries. The blood supply of uterine myoma could be occluded and pathological vessel signs of myoma disappeared after bilateral uterine artery embolization. With a mean follow-up of 3 and 6 months, the menorrhagia and menstrual cycles returned to normal and anemia was improved. The volume of the uterus and myoma was obviously smaller.
Conclusion:
Bilateral super-selective uterine artery embolization is a new, safe and effective method for the treatment of uterine myoma.