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Date Published: 28/08/2024
Abstract Views: 47
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DOI: https://doi.org/10.56535/jmpm.v49i6.793
Issue
Vol. 49 No. 6 (2024): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 6 - 2024
Section
Articles
How to Cite
Phan, H. G., Nguyễn, T. T., Vũ, Đ. T., Nguyễn, V. H., Phạm, M. G., Đỗ, H. H., Vũ, M. D., Nguyễn, T. B., Trần, T. T. H., Phạm, M. T., & Vũ, Đ. L. (2024). EVALUATE THE RESULTS OF TREATMENT ENDOMETRIOSIS USING UTERINE ARTERY EMBOLIZATION. Journal of Military Pharmaco-medicine, 49(6), 164-171. https://doi.org/10.56535/jmpm.v49i6.793

EVALUATE THE RESULTS OF TREATMENT ENDOMETRIOSIS USING UTERINE ARTERY EMBOLIZATION

Phan Hoang Giang , Thị Trang Nguyễn1, Đức Thành Vũ2, Việt Hà Nguyễn3, Minh Giang Phạm4, Huy Hoàng Đỗ5, Minh Dương Vũ6, Thanh Bình Nguyễn7, Thị Thúy Hằng Trần8, Minh Thông Phạm1,2, Đăng Lưu Vũ1,2
1 Bộ môn Chẩn đoán Hình ảnh, Trường Đại học Y Hà Nội
2 Trung tâm Điện quang, Bệnh viện Bạch Mai
3 Khoa Phụ sản, Bệnh viện Bạch Mai
4 Khoa Khám bệnh, Bệnh viện Phụ sản Trung ương
5 Khoa Chẩn đoán Hình ảnh, Bệnh viện Hồng Ngọc
6 Khoa Hồi sức nội, Bệnh viện Quân y 103, Học viện Quân y
7 Khoa Răng Hàm Mặt, Trường Đại học Kinh doanh và Công nghệ Hà Nội
8 Khoa Hoá sinh, Bệnh viện 19-8, Bộ Công an

Main Article Content

Abstract

Objectives: Endovascular intervention by using uterine artery embolization has been applied effectively around the world, especially in symptomatic treatment and uterus preservation for young people who do not want a hysterectomy or still want to birth.


Material and method: From January 2019 to September 2023, 20 patients with adenomyosis were treated with embolization at the radiology center of Bach Mai hospital. Diagnosis of adenomyosis is based on clinical criteria and magnetic resonance imaging (MRI). Clinical and ultrasound monitoring and evaluation after embolization 1, 3 and 6 months


Results: Of the 20 patients in this study, clinical follow-up after 6 months. The rate of eliminating abdominal pain is 78.57%, the rate of eliminating menorrhagia is 62.5%. After 3 months of embolization, with transvaginal ultrasound of the uterus, we found that the thickness of the transition zone decreased on average from 40.25 ± 11.34 mm to 31.1 ± 7.41 mm, average reduction of 34.5 ± 15%. Uterine volume decreased on average from 319.77±193.67cm3 to 248.65±141.50cm3, average reduction 71.11±63.22cm3 (21.94%).


Conclusion: Uterine artery embolization in the treatment of adenomyosis is an effective and safe method that can replace surgery in cases of wanting to preserve the uterus

Article Details

Keywords

Adenomyosis, Embolization, Adenomyosis Embolization

References

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