Selective uterine artery embolization for uterine fibroids care.docVIP

 PAGE \* MERGEFORMAT 10 Selective uterine artery embolization for uterine fibroids care [Keywords:] Uterine artery embolization for fibroids Selective uterine artery embolization (transcatheter uterine artery embolization, TUAE treatment of uterine fibroids at home and abroad in recent years, the rise of new treatment technologies, not only to avoid the pain of laparotomy, while the female organs intact, and its efficacy, trauma of small, healing, fewer complications, etc. are gradually promoting [1]. our department in February 2001 ~ May 2006 for treatment of uterine fibroids using TUAE cases were 25 cases, well-well-care, the effect is satisfactory. Nursing now reported as follows. Clinical data 1. General Information The group of 25 patients, aged 21 to 45 years, mean age 38 years old, unmarried 4, married 21. By gynecological examination and B-, MRI diagnosed with uterine fibroids, including 18 cases of submucous myoma, muscular wall 7 cases between the myoma, leiomyoma size 3 ~ 12 cm, the number ranging from 1 to 4, all patients had varying degrees of dysmenorrhea, menstrual period prolonged menstrual volume, associated with anemia and other symptoms. 2. Surgical methods In the C-arm, DSA equipment-oriented, using Seldinger technique femoral artery catheterization, with the Cobra catheter in the abdominal aorta pelvic angiogram shows complete picture of the internal iliac artery, uterine artery open position to understand, observe the fibroids chromosome situation. for superselective catheterization of bilateral uterine artery, uterine angiography confirmed by catheter PYM 16 mg + lipiodol emulsion or PVA embolization particles. 3. Treatment Outcome The group of 25 patients were followed up 1 year (once every 3 months later B-, significantly reduced the patient’s menstrual flow, or return to normal, abdominal pain, reduce or disappear. Some patients after a 2-year tracking the size and stability observed fibroids, menstrual nor