Article Sidebar
Views pdf: 65
EARLY RESULTS OF THE TRANSBRACIAL APPROACH EMBOLIZATON FOR TREATMENT OF OVER 8CM SYMPTOMATIC UTERINE FIBROMAS
Main Article Content
Abstract
Objectives: To evaluate the early results in treating over 8cm symptomatic uterine leiomyoma with transbrachial approach embolization after 1 month and 06 months. Methods: The study involved 20 female patients (patients), with a mean age of 42.35 ± 8.0 years, having over 8cm symptomatic uterine leiomyoma and treated with transbrachial embolization. Clinical and magnetic resonance imaging features were collected before and six months after embolization. Results: All patients were successfully embolized with no procedure - related complications. After one and six months of embolization, the tumor diameter decreased by 12,38% and 45,14%, respectively, (92,50 ± 13,62mm before treatment, 81,05 ± 14,52mm and 50,75 ± 10,59mm after 1 month and six months, respectively). 95% and 100% of patients stopped menorrhagia symptoms after one month and six months of embolization, respectively. 90% and 100% of patients decrease lower abdominal pain symtomps after one month and six months of embolization, respectively. Conclusion: Transbrachial embolization of the over 8cm uterine fibroma is safe and effective, helping to reduce the diameter of the tumor and improve early clinical symptoms after embolization
Article Details
Keywords
large uterine leiomyoma, uterine leiomyoma nodule, brachial artery line.
References
2. Dương Thị Cương và Nguyễn Đức Hinh. Phụ Khoa Dành Cho Thầy Thuốc Thực Hành,. nhà xuất bản y học, tr88-108; 1999.
3. Pavone D., Clemenza S., Sorbi F. and et al. Epidemiology and Risk Factors of Uterine Fibroids. Best Pract Res Clin obster gynaecol, 46, 3-11; 2018.
4. Llewellyn O, Patel NR, Mallon D, Quinn SD, Hamady M. Uterine Artery Embolisation for Women with Giant Versus Non-giant Uterine Fibroids: A Systematic Review and Meta-analysis. Cardiovasc Intervent Radiol. 2020;43(5):684-693. doi:10.1007/s00270-019-02359-7
5. Kitamura, Y., et al.,. Imaging Manifestations of Complication Associated with Uterine Artery Embolization. Radiographics,; 2005.
6. Phạm Gia Khánh. Nghiên Cứu Ứng Dụng và Phát Triển Kỹ Thuật Can Thiệp Nội Mạch Điều Trị Một Số Bệnh. Chương trình Khoa học và Công nghệ trọng điểm cấp nhà nước KCI; 2010.
7. Hiền NX. Nghiên Cứu Ứng Dụng Phương Pháp Nút Động Mạch Tử Cung Trong Điều Trị u Cơ Trơn Tử Cung. Luận văn tiến sỹ y học. Đại học y Hà Nội; 2011.
8. Zreik, T.G, et al.,. Cryomyolysis a New Procedure for the Conservative Treatment of Uterine Fibroids. J Am Assoc Gynecol Laparosc,; 1998.
9. Nassera, s. B. and Isaac, T. M. Myometrial Tumours. Current Obstetrics & Gynaccology, 14: p. 327-336.; 2004.
10. Lê Văn Khánh. Nghiên Cứu Kết Quả Ban Đầu Sử Dụng Hạt vi Cầu Embozene Trong Điều Trị u Có Trơn Tử Cung. Luận văn bác sĩ nội trú, Trường Đại học Y Hà Nội; 2016.