What is the place of uterine artery embolisation in the management of symptomatic uterine fibroids?

被引:10
|
作者
Hickey, Martha [1 ]
Hammond, Ian [1 ,2 ]
机构
[1] Univ Western Australia, Sch Womens & Infants Hlth, King Edward Mem Hosp, Perth, WA 6009, Australia
[2] King Edward Mem Hosp, Western Australian Gynaecol Canc Serv, Subiaco, WA, Australia
来源
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | 2008年 / 48卷 / 04期
关键词
myomectomy; uterine artery embolisation; uterine fibroids;
D O I
10.1111/j.1479-828X.2008.00886.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Uterine artery embolisation (UAE) is an alternative to surgical management for symptomatic uterine fibroids and is increasingly performed in Australia. Aims: To review the evidence for the efficacy, safety and acceptability of UAE and to evaluate the place of UAE in Australia Methods: The study used literature review. Results: UAE compares favourably to hysterectomy and myomectomy in terms of short-term symptom relief, cost, patient satisfaction and complications. There is a paucity of evidence regarding fertility and pregnancy after UAE. A significant minority of women require re-intervention following UAE. Conclusions: UAE should be considered as an alternative to surgical management of symptomatic uterine fibroids in carefully selected and informed patients.
引用
收藏
页码:360 / 368
页数:9
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