What is adenomyosis?
Adenomyosis is a benign lesion caused by the invasion of the basal layer of the endometrium into the myometrium. It occurs in menstruating mothers between the ages of 30 and 50.
Why do you get adenomyosis?
The true causative mechanism is not clear. Most scholars believe that it is related to genetics, injury (such as curettage and cesarean delivery), hyperestrogenemia, and viral infections. The incidence of the disease is on the rise with the increase in cesarean deliveries and uterine evacuation.
What are the clinical manifestations of adenomyosis?
Excessive menstruation and progressive dysmenorrhea are the main manifestations. The severity of dysmenorrhea (also known as “chronic cancer”), which is characterized by persistent lower abdominal pain, lower back pain, anal cramping, nausea and vomiting, often leads to infertility and anemia.
Can adenomyosis become cancerous?
As with fibroids, adenomyosis can become cancerous, but it is relatively rare and does not require deliberate removal of the uterus.
What is the age of onset of fibroids?
It is the most common benign tumor in gynecology. It is most common in women over 35 years old to pre-menopausal, with an incidence of over 20-40%.
How do uterine fibroids occur?
After extensive clinical studies, it is now believed that it may be related to high estrogen levels localized in the body of the uterus.
What are the clinical manifestations of uterine fibroids?
Irregular and increased menstrual flow; abdominal pain; increased vaginal discharge; anemia; infertility, etc. If the fibroids or uterus increase in size significantly, it may lead to pressure symptoms such as urination disorder, hydronephrosis, difficulty in stool and urgency.
What are the traditional clinical treatments for adenomyosis and fibroids?
Hormone therapy, surgical procedures including hysterectomy and myomectomy (peeling), etc.
What is interventional treatment?
With the continuous development of science and technology and medical level, the high clarity of modern imaging equipment and the perfection of various minimally invasive instruments have made minimally invasive treatment possible. Interventional treatment is the emerging discipline of diagnosing and treating diseases by using minimally invasive instruments such as puncture needles and catheters under modern imaging equipment.
What are the surgical methods of interventional treatment for adenomyosis and uterine fibroids?
The interventional treatment methods for both are largely the same. The femoral artery is punctured at the root of the thigh, and a catheter about the thickness of a grain of rice is placed into the blood supply artery of the fibroid.
What is the principle of interventional treatment for adenomyosis and fibroids?
After the blood supply of ectopic adenomyosis or fibroids is cut off, the source of nutrients is cut off, so that the ectopic adenomyosis and fibroids “starve to death”; after the blood supply is cut off, the hormones cannot enter the tumor with the blood flow, and the factor of hormone stimulating the growth of fibroids disappears; after the ectopic adenomyosis and fibroids shrink, the bleeding volume is reduced, the period is shortened, and the symptoms are improve. Both achieve the purpose of treatment and avoid permanent damage to the uterus.
Indications for interventional treatment of adenomyosis and uterine fibroids
1, unmarried, infertile young women.
2, those who refuse surgery and require preservation of the uterus and fertility
3, women of childbearing age, before menopause
4, clear diagnosis and obvious clinical symptoms caused by it.
5, those whose conservative treatment (such as medication) is ineffective or recurrent
6, frail or combined with serious medical diseases, such as diabetes mellitus, who cannot tolerate the procedure.
What are the side effects after interventional therapy?
Most patients may have small abdominal pain within 48 hours, which can be relieved by analgesic treatment; a few patients have combined symptoms such as hypothermia and nausea.
What is the safety and efficacy of interventional therapy?
Interventional treatment of adenomyosis and fibroids has become a mature technique with a serious complication rate of about 1%, which is much lower than that of surgical procedures. Interventional therapy has been clinically effective and has become an important treatment for adenomyosis and fibroids.
The advantages of interventional therapy?
1, precise efficacy, low recurrence rate, and obvious elimination of clinical symptoms mainly bleeding symptoms.
2, minimal trauma, can be out of bed 24 hours after the intervention.
3.Most patients can retain their reproductive function.
4.Short hospital stay and fast recovery.
5, intact preservation of uterine functions, such as normal menstruation, pregnancy and childbirth, avoiding the psychological and spiritual loss and the serious mental burden caused by the injury and removal of the uterus.
6. The complication rate is low, and premature aging and sexual disharmony are avoided to the greatest extent.
What are the most outstanding advantages of interventional therapy?
It effectively treats the disease, improves the patient’s quality of life, and protects the uterus from being removed!