Uterine artery embolization in the treatment of submucous myomatous nodes

Авторы

  • Дулат Тажибаев National Diagnostics Center “University Medical Center”, Republic of Kazakhstan, 2, ul. Syganak, Nur-Sultan, 010000, Republic of Kazakhstan
  • Бахыт Абишев National Research Center of Maternity and Child “University Medical Center”, 32, ul. Turan, Nur-Sultan, 010000, Republic of Kazakhstan
  • Ирина Григорьевна Камышанская St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Макаш Алиякпаров Karaganda Medical University, 40, ul. Gogolya, Karaganda, 100000, Republic of Kazakhstan

DOI:

https://doi.org/10.21638/spbu11.2020.202

Аннотация

The purpose of the article was to evaluate trends of uterine submucousal myomas after the embolization of uterine arteries. Uterine fibroids are a common disease in women of reproductive age, accounting for 10 to 30 %, according to various authors. The submucous location of the myomatous node is an unfavorable type of localization of fibroids since it almost always requires surgical treatment. In this work, we would like to report on the results of endovascular x-ray occlusion of the uterine arteries in the treatment of submucous myomatous nodes. Percutaneous through catheter occlusion of uterine arteries with submucousal myomatous nodes was performed in 21 patients where 18 of them through the femoral, and 3 of them through beam access. The patients’ age was under 32 up to 47 with average 36,5. Myomatous nodes’ size is from 3,0 till 9,0 centimeters. There were noted self-expulsions of 10 from 21 submucousal myomatous nodes after X-ray endovascular occlusion during the 7 days and until 3 months. In the gynecological department they performed removal of partially born submucosal nodes in 3 out of 21 patients within 3 months. In the remaining 8 of 21 observations (381 %), submucosal nodes underwent myolysis in the following 12 months. After X-ray endovascular occlusion there might be expulsion or myolysis of myoma nodes in different terms during the submucosal myomatous of uterine.

Ключевые слова:

uterine artery embolisation, roentgen-endovascular occlusion, magnetic resonance tomography, uterine myoma, submucousal myomatous nodules

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Опубликован

02.11.2020

Как цитировать

Тажибаев , Д. ., Абишев , Б., Камышанская, И. Г., & Алиякпаров , М. (2020). Uterine artery embolization in the treatment of submucous myomatous nodes. Вестник Санкт-Петербургского университета. Медицина, 15(2), 107–114. https://doi.org/10.21638/spbu11.2020.202

Выпуск

Раздел

Акушерство и гинекология

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