Preliminary evaluation of uterine artery embolization for treatment of adenomyosis
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Abstract
SUMMARY
The uterine arterial embolization was carried out for 17 patients who suffered from adenomyosis, in which of them, 10 cases were followed-up by MRI at 1 and 3 months after embolization. The results showed that: free from abdominal pain were about 87.5 and 81.25% respectively and free from menorrhagia were 66.7% and 50% respectively. The thickness of transitional zone was reduced from 33 to 22.1mm. Average reducing of uterine volume was from 274.4 to 215.9cm3, corresponding to 19.5% of decreased volume. No contrast enhancement on MRI were found at 7 patients (7/10). 100% patients felt abdominal pain at the end of the procedure, especially 94,1% strongly pain. Hospitalization time was only 1-2 days in 94,1% of patients.
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References
TÀI LIỆU THAM KHẢO
1. Baert A.L et al (2007). ”MRI and CT of the Female Pelvis”. Springer; p70-102.
2. Benagiano G, Brosens I (2006). “History of adenomyosis”. Best Pract Res Clin Obstet Gynaecol; 20(4): 449-63.
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4. Jha R.C, Takahama J, Imaoka I, Korangy S.J, Spies J.B et al (2003). “Adenomyosis: MRI of the Uterus Treated with Uterine Artery Embolization”. AJR; 181:851-856.
5. Kim M.D, Kim S, Kim N.K et al (2007). “Long-Term Results of Uterine Artery Embolization for Symptomatic Adenomyosis”. AJR;188:171-181.
6. Kitamura Y, Allison S.J, Jha R.C et al (2006). “MRI of Adenomyosis: Changes with Uterine Artery Embolization.” AJR;186:855-864.
7. Pelage J.P, MD, PhD, Jacob D et al (2005). ”Midterm Results of Uterine Artery Embolization for Symptomatic Adenomyosis: Initial Experience”. Radiology; 234:948-953.
8. Siskin G.P, Tublin M.E, Stainken B.F and al (2001). “Uterine Artery Embolization for Treatement of Adenomyosis: Clinical Response and Evaluation with MR Imaging”. AJR; 177:297-302.
1. Baert A.L et al (2007). ”MRI and CT of the Female Pelvis”. Springer; p70-102.
2. Benagiano G, Brosens I (2006). “History of adenomyosis”. Best Pract Res Clin Obstet Gynaecol; 20(4): 449-63.
3. Hodler J, von Schulthess G.K, Zollikofer Ch.L (2006). «Diseases of Abdomen and Pelvis». Springer, p 137-138.
4. Jha R.C, Takahama J, Imaoka I, Korangy S.J, Spies J.B et al (2003). “Adenomyosis: MRI of the Uterus Treated with Uterine Artery Embolization”. AJR; 181:851-856.
5. Kim M.D, Kim S, Kim N.K et al (2007). “Long-Term Results of Uterine Artery Embolization for Symptomatic Adenomyosis”. AJR;188:171-181.
6. Kitamura Y, Allison S.J, Jha R.C et al (2006). “MRI of Adenomyosis: Changes with Uterine Artery Embolization.” AJR;186:855-864.
7. Pelage J.P, MD, PhD, Jacob D et al (2005). ”Midterm Results of Uterine Artery Embolization for Symptomatic Adenomyosis: Initial Experience”. Radiology; 234:948-953.
8. Siskin G.P, Tublin M.E, Stainken B.F and al (2001). “Uterine Artery Embolization for Treatement of Adenomyosis: Clinical Response and Evaluation with MR Imaging”. AJR; 177:297-302.