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Date Published: 06/10/2023
Abstract Views: 127
Views pdf: 97
DOI: https://doi.org/10.51298/vmj.v530i2.6788
Issue
Vol. 530 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, X. H., & Lê, H. C. (2023). EVALUATING THE EFFECTIVENESS OF UTERINE FIBROID EMBOLIZATION WITH MICROSPHERES COAXIAL. Vietnam Medical Journal, 530(2). https://doi.org/10.51298/vmj.v530i2.6788

EVALUATING THE EFFECTIVENESS OF UTERINE FIBROID EMBOLIZATION WITH MICROSPHERES COAXIAL

Xuân Hiền Nguyễn1, Hồng Chiến Lê2,
1 Tam Anh General Hospital
2 Military Hospital 105

Main Article Content

Abstract

Objective: To evaluate the results of effective treatment of uterine leiomyoma tumours with coaxial seeds from 01/2021 to 06/2023. Subjects and methods: Prospective study combining retrospective treatment of cases of uterine leiomyoma embolization with coaxial granules from 01/2021 to 06/2023. Results: 50 patients met the criteria for inclusion in the study, the average age was 41.0 ± 5.6 (24 – 53)years old, the reason for admission was mainly due to menorrhagia (64%). The mean diameter (mm) of the largest tumor: 76,8 ± 23,5 (44 - 150) and the mean weight (gram) of the largest tumor: 209,5 ± 200.0 (35,0 - 997,9). 88% of patients were used with embolization beads with the size of 500 - 900μm, with 78% of patients having increased angiogenesis from 2 uterine arteries and 92% of patients having strong angiogenesis with the intervention time 91.4 ± 40.6 (45 - 240). minute). 1 patient needed a second embolization after 14 months of intervention. 100% of patients were free of anemia and urinary disorders, there was no difference in clinical effectiveness and tumor size reduction between the group with the largest tumor diameter < 10 cm and > 10 cm. Complications of fever and persistent abdominal pain were higher in the group with the largest tumor diameter > 10 cm. Conclusion: The technique of treating uterine leiomyoma tumor with coaxial granules is a safe and highly effective technique.


Objective: To evaluate the results of effective treatment of uterine leiomyoma tumours with coaxial seeds from 01/2021 to 06/2023. Subjects and methods: Prospective study combining retrospective treatment of cases of uterine leiomyoma embolization with coaxial granules from 01/2021 to 06/2023. Results: 50 patients met the criteria for inclusion in the study, the average age was 41.0 ± 5.6 (24 – 53)years old, the reason for admission was mainly due to menorrhagia (64%). The mean diameter (mm) of the largest tumor: 76,8 ± 23,5 (44 - 150) and the mean weight (gram) of the largest tumor: 209,5 ± 200.0 (35,0 - 997,9). 88% of patients were used with embolization beads with the size of 500 - 900μm, with 78% of patients having increased angiogenesis from 2 uterine arteries and 92% of patients having strong angiogenesis with the intervention time 91.4 ± 40.6 (45 - 240). minute). 1 patient needed a second embolization after 14 months of intervention. 100% of patients were free of anemia and urinary disorders, there was no difference in clinical effectiveness and tumor size reduction between the group with the largest tumor diameter < 10 cm and > 10 cm. Complications of fever and persistent abdominal pain were higher in the group with the largest tumor diameter > 10 cm. Conclusion: The technique of treating uterine leiomyoma tumor with coaxial granules is a safe and highly effective technique.

Article Details

Keywords

Fibroma uterin; uterine artery embolization hay uterine fibroid embolization;…

References

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