Former U.S. Secretary of State Condoleezza Rice was discharged from Georgetown University Hospital on November 19, 2004, in good condition after undergoing a fibroid embolization procedure under local anesthesia and being hospitalized overnight for observation. Her attending physician, interventional radiologist Dr. James Spiess, said in a post-operative interview that the procedure was carried out by an interventional radiologist. In a post-operative interview, Spies said: “So far, everything is fine, it’s a routine procedure, and the techniques are well established. Why was Rice’s procedure performed by an interventional radiologist rather than an OB/GYN? Why was she only in the hospital for one night? Fibroids, also known as uterine fibroids, are the most common benign gynecological tumor in gynecology, known as the “first tumor in women”, and are most common in women between the ages of 30 and 50 during their reproductive years. There are various treatment options, including hysterectomy and myomectomy. The procedure chosen for Ms. Rice is called “uterine artery embolization”, which is a type of vascular intervention. The specific treatment method is to cut a small opening of rice grain size at the root of one side of the thigh and apply a special catheter to embolize the blood supply artery of the fibroid to make the fibroid ischemic and anoxic necrosis and absorption, so as to achieve the purpose of treating the fibroid, which is a new and mature fibroid treatment method. The reason for this is that the uterus and ovaries are connected by blood vessels, and the uterus provides 50%-70% of the blood supply to the ovaries. Removal of the uterus affects the endocrine function of the ovaries, and it has been found that the uterus itself secretes some estrogen. Uterine artery embolization for uterine fibroids preserves the uterus and its normal uterine functions while causing the fibroids to die and disappear, which is the biggest difference from traditional surgery. (2) High demand for quality of life. The uterus is anatomically located in the center of the pelvic floor and is connected to the pelvic wall by ligaments, which play a role in fixing the pelvic floor structure. A good pelvic floor structure is an important factor to ensure that the pelvic organs are fixed in place. When the pelvic floor structure is damaged, prolapse of the internal organs occurs, most commonly in women, vaginal laxity and urinary incontinence due to bladder prolapse. (3) This procedure has many advantages. Compared with traditional surgical treatment, uterine artery embolization for uterine fibroids has the advantages of exact efficacy, small trauma, no incision, fast recovery, low recurrence rate and preservation of the uterus. For example, a hospital in Guangzhou has successfully performed this procedure for more than 1000 patients with uterine fibroids, and after 6 years of follow-up, it was found that most of the patients had achieved satisfactory results, with high success rate and low side effects, and some patients with fertility requirements had their fibroids reduced and disappeared after the treatment, and were happy to have a child. The failure rate of this procedure is about 1% after searching the related data at home and abroad. What kind of fibroid patients are suitable for uterine artery embolization? ① bleeding caused by fibroids (heavy menstrual flow, prolonged menstruation) ② pain in the lower back and abdomen caused by fibroids ③ pain in the pelvic area and rectal pressure caused by fibroids ④ recurrence of fibroids after removal, except for malignant changes. Which patients with fibroids are not suitable for uterine artery embolization? ① Contraindications to angiography, including heart, liver, kidney and other important organ dysfunction, abnormal coagulation mechanism ② Acute and chronic gynecological inflammation that cannot be effectively controlled ③ Other relative contraindications include postmenopause, severe arteriosclerosis and advanced age ④ Uterine arteriovenous fistula. The prevention and control of adverse reactions and complications after uterine fibroid embolization. ①Pain. To effectively reduce intraoperative pain, dexamethasone plus saline should be slowly pushed through the catheter and dulcolax should be injected intramuscularly before surgery. Postoperative pelvic pain is the most prominent reaction after embolization of uterine fibroids. Symptomatic treatment generally disappears in 2 to 14 days, and the degree and duration of pain are positively correlated with tumor size. ② Nausea, vomiting and fever. It improves and disappears after 3 to 5 days of symptomatic treatment. ③Routine application of antibiotics after surgery to prevent infection. Endometritis, pus accumulation and uterine perforation are the most serious complications after uterine artery embolization. In order to prevent complications, its key to control infection, antibiotics are routinely given for 3 to 6 days, which can be extended for large myoma.