|
Uterine artery embolization (UAE) is a procedure where an interventional radiologist uses a catheter to deliver small particles that block the blood supply to the uterine body. The procedure is done for the treatment of uterine fibroids and adenomyosis.〔Siskin GP, Tublin ME, Stainken BF, et al. Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with MR imaging. AJR Am J Roentgenol 2001; 177:297.〕〔Chen C, Liu P, Lu J, et al. (arterial embolization in the treatment of adenomyosis ). Zhonghua Fu Chan Ke Za Zhi 2002; 37:77.〕 Given that this minimally invasive procedure is commonly used in the treatment of uterine fibroids it is also called uterine fibroid embolization (UFE). ==Medical uses== Uterine artery embolization is used to treat bothersome bulk-related symptoms or abnormal or heavy uterine bleeding due to uterine fibroids or for the treatment of adenomyosis. Fibroid size, number, and location are three potential predictors of successful UFE 〔Spies JB, Roth AR, Jha RC, et al. Leiomyomata treated with uterine artery embolization: factors associated with successful symptom and imaging outcome. Radiology 2002; 222:45.〕〔Pelage JP, Walker WJ, Le Dref O, et al. Treatment of uterine fibroids. Lancet 2001; 357:1530.〕〔Katsumori T, Nakajima K, Mihara T. Is a large fibroid a high-risk factor for uterine artery embolization? AJR Am J Roentgenol 2003; 181:1309.〕 Long term outcomes with respect to how happy people are with the procedure are similar to that of surgery.〔 There is tentative evidence that traditional surgery may result in better fertility.〔 UAE also appears to require more repeat procedures than if surgery was done initially. It has shorter recovery times.〔 UAE is thought to work because uterine fibroids have abnormal vasculature together with aberrant responses to hypoxia. UAE can also be used to control heavy uterine bleeding for reasons other than fibroids, such as postpartum obstetrical hemorrhage.〔(Management of severe postpartum haemorrhage by uterine artery embolization )〕 and adenomyosis. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「uterine artery embolization」の詳細全文を読む スポンサード リンク
|