Use of uterine vessel occlusion in the management of uterine myomas: Two different approaches

Wen Ling Lee, Wei Min Liu, Jong Ling Fuh, Ying Chieh Tsai, Chun Che Shih, Peng Hui Wang

研究成果: 雜誌貢獻文章同行評審

31 引文 斯高帕斯(Scopus)

摘要

Objective: To evaluate the difference between uterine artery occlusion alone (UAO) and combined (UVO) with simultaneous blockage of anastomosis between the uterine and ovarian vessels in the management of women with myomas in a 3-year follow-up. Design: Case-control study. Setting: University-associated hospital. Patient(s): One hundred ten patients with uterine fibroids. Intervention(s): Forty-four patients underwent UAO and 66 patients UVO; patients were matched using a statistically generated selection of all UVOs performed during the same period. Main Outcome Measure(s): Outcomes were assessed by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes. Result(s): During the 3-year follow-up, the majority of patients in both groups reported symptom relief (ranging from 61.5% to 84.6% in the UVO group and 31.6% to 77.3% in the UAO group, on the basis of different kinds of symptoms). However, symptom control seemed to be different between the two groups when the follow-up time was prolonged; for example, symptom control was better in the UVO group at the end of 3 years, especially for menorrhagia (76.5% vs. 34.5%). The fibroid size was smaller in the UVO group, resulting in a lower reintervention rate, compared with the UAO group (13.6% vs. 36.4%). Conclusion(s): If UVO is used for uterine fibroids, the 3-year efficacy might be better than that with UAO. This finding is worthy of further investigation.

原文英語
頁(從 - 到)1875-1881
頁數7
期刊Fertility and Sterility
94
發行號5
DOIs
出版狀態已發佈 - 10月 2010

ASJC Scopus subject areas

  • 婦產科
  • 生殖醫學
  • 醫藥 (全部)

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