The advantages of interventional treatment for uterine fibroids.
1, the biggest advantage is the exact efficacy, low recurrence rate, and the ability to preserve uterine functions intact, such as normal menstruation, pregnancy and childbirth, and does not affect conception, avoiding the traumatic blow of surgery and a series of post-operative complications, the effect on symptom improvement can be comparable to surgery.
2, the treatment does not require an incision, only a small incision less than the size of a grain of rice, the thin tube into the blood vessels can be. It is less invasive, faster recovery and shorter hospital stay. It is easy for patients to accept.
3.It is easier and more economical than traditional surgical treatment. Generally no blood transfusion is needed.
4.After treatment, it does not affect other treatments, in other words, even if embolization fails, surgery and drug treatment can still be applied.
5.The integrity of reproductive organs and their functions are preserved, and the quality of sexual life and endocrine balance are not affected.
Contraindications.
(1) Severe liver and kidney dysfunction;
(2) Severe cardiovascular disease;
(3) Coagulation mechanism disorders;
(4) Hypersensitivity to contrast agents and anesthetics.
Indications: Patients with uterine fibroids without the above contraindications, with clinical symptoms and who voluntarily undergo arterial embolization.
Reactions and management after interventional therapy.
1. Ischemic pain: 88.66% of patients will have different degrees of lower abdominal distension and cramping pain after treatment, with varying durations, ranging from 5-6 hours on the short side to 1 week on the long side, which may be related to the tension of the myoma tegument caused by tissue ischemia and edema after embolization. Appropriate pain relief treatment was given.
2, fever, nausea and vomiting: 25% of patients may have fever, especially in patients with large myoma, and the temperature of low fever may be around 38°C within a week after embolization. A course of antibiotics is available. Nausea and vomiting are treated symptomatically. 90% of patients can resume normal activities within 10 days after surgery.
Irregular vaginal bleeding: A small amount of irregular vaginal bleeding can occur in a small number of patients after embolization, accompanied by endometrial shedding, which may be related to the insufficient blood supply to the uterus to maintain endometrial growth after embolization. The symptoms may disappear on their own.
The regression of uterine fibroids after interventional treatment.
1.Elimination of fibroids after uterine fibroid artery embolization.
2. There are three ways of fibroid shrinkage after uterine fibroid artery embolization
①The fibroids shrink and disappear month by month;
②Increase in size within 1-2 months, then shrink and disappear month by month;
(3) The fibroid remains unchanged for a certain period of time (within 6 months) and then shrinks and disappears month by month.