Uterine Artery Embolization for Uterine Fibroids

Abstract

Objective To study the clinical effects and complications of uterine artery embolization for uterine fibroids. Methods Uterine artery embolization was performed in 27 patients. All cases were diagnosed as uterine fibroids with pathological examination by biopsy. The changes of uterus size,fibroids size,clinical symptoms and complications were followed up in 3～18 months after procedure. Results There were 25 patients out of 27 (92.6%) who had satisfying clinical results. The menorrhagia ceased in 17 patients (89.5%, 17/19). The dysmenorrhea was improved in 8 patients (88.9%, 8/9). The volume of uterus decreased 48.9± 15.6 % (t=13.3921,p0.001).The shrinkage of the fibroids was 56.8±17.9%(t=14.6403,p0.001)in volume. The complications included mild-moderate fever in 20 patients out of 27(74.1%);moderate-severe pelvic cramp in 5 patients(18.5%);shortened inter-menstrual period in 10 patients(37.0%);temporary amenorrhea in 4 patients (14.8%);permanence amenorrhea in 2 patients(7.4%). Conclusions Uterine artery embolization is a safe, effective , micro-trauma therapy for uterine fibroids. But percutaneouse biopsy is recommended before the operation for ruling out the malignant disease in uterus.