在获得的子宫血管形中栓塞的有效性:印度第三级护理中心的经验
Vineel Inampudi1, Sunanda Nimmalapudi1
1Department of Radiodiagnosis, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh, India.
概括
子宫动脉栓塞有效治疗子宫动脉静脉形 (AVM),提供了一个安全的,微创的选择. 这种手术的成功率很高,在许多患者中可以保持生育能力.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 妇科 妇科医生 妇科
背景情况:
- 获得的子宫动脉静脉形形 (AVMs) 可以导致显著的出血.
- 子宫动脉栓塞 (UAE) 是这些血管异常的潜在治疗方法.
研究的目的:
- 评估子宫动脉栓塞 (UAE) 治疗获得的子宫AVM的疗效和安全性.
- 评估子宫AVMs患者在阿联后的长期结果和生育能力的保护.
主要方法:
- 在2015年7月至2022年4月期间,对225名被诊断患有子宫AVM的患者进行了前性审查.
- 所有患者都使用各种栓塞剂对子宫动脉进行过导管栓塞,包括Histoacryl和聚乙烯醇 (PVA) 颗粒.
- 总共分析了375个栓塞程序.
主要成果:
- 栓塞的技术成功率为100%.
- 临床成功率为92%,在225名患者中,222名患者的出血得到控制.
- 60名患者实现了无事件的子宫内妊娠,在210名患者中没有观察到出血的复发,随访时间中位数为53个月.
结论:
- 子宫动脉栓塞 (UAE) 是对子宫AVM的安全有效的微创治疗方法.
- 这种程序在控制出血方面提供了长期的有效性,并且可以保持生育能力.
- 阿联是获得子宫AVM的患者有价值的治疗选择.
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