1. Patient preparation: Before surgery the patient's physical condition as far as possible adjusted to better state to respond off smoothly through embolization. The same routine basis having artery embolization to prepare well before surgery.
2. Equipment preparation: conventional angiography equipment, Cobra catheter commonly used form of catheter, 4F catheter is more appropriate. If possible, use the micro-catheter system.
3. Embolic agent: more choice of PVA embolization particles, gelatin sponge, stainless steel rings. Diameter of 300-500 multiple choice PVA?; Gelatin sponge sterilized by high pressure high temperature treatment can extend the absorption time can be made of particles or strips, it is more better than the conventional gelatin sponge; also been used as embolic agent lipiodol.
Third, the methods are to the left and right internal iliac artery catheterization angiography, uterine fibroids, uterine artery angiography showed enlargement, arterial pressure was over, blood vessels were surrounded by straight or shaped, also shows marked tumor staining. Catheter angiography, respectively, as shown under the ultra-election to the bilateral uterine arteries, perfusion embolic agent, uterine artery embolization.
Fourth, after dealing with conventional treatment by arterial embolization, and to the anti-inflammatory and symptomatic treatment should be strengthened anti-bacterial fluid.
Fifth, complications of common complications are: ① local pain, increased skin temperature, swelling, fever, this is the performance of embolization syndrome; ② vaginal discharge, uterine fibroids mostly necrotic material; ③ endometritis, Pyometra, uterine perforation, intrauterine infection and more; ④ ovarian dysfunction; and so on. Inside and outside the large amount of clinical data indicate that uterine artery embolization for uterine fibroids total efficiency of up to 95%. Compared with traditional surgery, the use of interventional treatment of uterine fibroids were able to retain the uterus, some even retain reproductive function, the patient suffered trauma, fewer complications, efficacy was easy for patients to accept. Therefore, the use of interventional treatment of uterine fibroids has become an effective alternative to traditional surgical means. However, due to uterine fibroid is a benign disease, thrombosis dose must be appropriate. Otherwise, excessive doses of embolization, can lead to serious complications. To this end, such as the less experienced operator, rather more than a few times embolism.
Maybe you want to see this article interventional therapy of uterine
Thursday, October 21, 2010
Wednesday, October 20, 2010
Interventional therapy of uterine fibroids
Uterine fibroids are the most common female genital mutilation as a benign smooth muscle tissue from the uterus, during which a small amount of fibrous connective tissue, women of childbearing age about 20% to 25% of uterine fibroids, the pelvic mass, menstrual excessive and secondary anemia as the main symptoms.
Traditional treatment of uterine fibroids is supplemented by drug therapy based on surgery. Hysterectomy is not difficult birth or the young women, and myomectomy recurrence rate as high as 20% to 25%; efficacy of drug treatment of uterine fibroids is not ideal and many side effects. Interventional therapy with radiation treatment of uterine fibroids cause menorrhagia, a significant effect, not only to reduce the tumor, but also well preserved uterine function, does not affect the pregnancy, to avoid the trauma of surgery and postoperative scars, symptom improvement The effect is comparable with the surgery. Because trauma, quicker recovery, shorter hospital stay, this kind of treatment to enable patients to easily accept.
Maybe you want to see this article western medicine treatment of uterine
Traditional treatment of uterine fibroids is supplemented by drug therapy based on surgery. Hysterectomy is not difficult birth or the young women, and myomectomy recurrence rate as high as 20% to 25%; efficacy of drug treatment of uterine fibroids is not ideal and many side effects. Interventional therapy with radiation treatment of uterine fibroids cause menorrhagia, a significant effect, not only to reduce the tumor, but also well preserved uterine function, does not affect the pregnancy, to avoid the trauma of surgery and postoperative scars, symptom improvement The effect is comparable with the surgery. Because trauma, quicker recovery, shorter hospital stay, this kind of treatment to enable patients to easily accept.
Maybe you want to see this article western medicine treatment of uterine
Western medicine treatment of uterine fibroids
1, the male hormone therapy: more than the amount of menstrual and uterine pregnancy at 8 weeks, about the size of the patient, the exclusion of endometrial cancer, androgen therapy can be used.
2, uterine fibroids cystectomy, retain the uterus, fertility hope for young and tubal patency in patients with fibroids.
3, hysterectomy for large fibroids, or menorrhagia, the continuation of fertility patients required hysterectomy. But more than treatment of complications.
A, 34% of women after 2 years of ovarian failure and menopause symptoms.
B, hysterectomy affect the integrity of the pelvic floor and shorten the vagina, sex life has been seriously affected.
C, increased rates of cardiovascular disease, premature ovarian failure after hysterectomy estrogen reduced cardiovascular morbidity increased in patients prone to obesity, hypertension, heart disease, osteoporosis adverse reactions.
Maybe you want to see this article efficacy and prognosis of uterine
2, uterine fibroids cystectomy, retain the uterus, fertility hope for young and tubal patency in patients with fibroids.
3, hysterectomy for large fibroids, or menorrhagia, the continuation of fertility patients required hysterectomy. But more than treatment of complications.
A, 34% of women after 2 years of ovarian failure and menopause symptoms.
B, hysterectomy affect the integrity of the pelvic floor and shorten the vagina, sex life has been seriously affected.
C, increased rates of cardiovascular disease, premature ovarian failure after hysterectomy estrogen reduced cardiovascular morbidity increased in patients prone to obesity, hypertension, heart disease, osteoporosis adverse reactions.
Maybe you want to see this article efficacy and prognosis of uterine
Efficacy and prognosis of uterine fibroids
(Non-surgical treatment)
(1) clinical cure: the symptoms disappeared, the tumor dissipated, the uterus return to normal size.
(2) markedly effective: symptoms disappeared, the tumor was significantly reduced or B-review prompted three-path of the uterus and out more than 2.5cm.
(3) Effective: symptoms improved, but not significantly reduced the tumor, or B-review prompted three-path of the uterus and out 1.5 ~ 2.5cm.
(4) is invalid: no improvement of symptoms and signs. 2. Surgical treatment: surgery, the tumor and the symptoms disappeared, no complications to recovery.
Uterine fibroids and pregnancy interaction. Fibroids usually exist prior to pregnancy. Submucosal fibroids can block implantation Erzhi fecundity of infertility; even if fecundity to implantation, but also easy because of regular uterine contractions and early abortion. Intramural fibroids, especially in subserosal fibroids, generally do not affect the pregnancy, or increase the abortion rate. However, when uterine fibroids lead to pregnancy while incarcerated retroflexion, can cause urinary retention and pregnancy interruption. More rapid growth of uterine fibroids during pregnancy, and prone to variability, especially the red degeneration. Fibroid red degeneration, the inevitable severe abdominal pain, with nausea and vomiting, and increased temperature, such as elevated white blood cell count, by conservative treatment, symptomatic treatment, the majority of self-ease, or take line fibroid enucleation. Pregnancy, fibroids can cause premature delivery, often caused by malposition. Childbirth, in the uterine isthmus, or the cervix within the broad ligament of the myoma can still hinder the decreased fetal or cause uterine inertia and prolonged labor, cesarean surgery should be promptly implemented. Depending on whether the situation is the same time as myoma enucleation or hysterectomy. Fibroids may also affect placental separation or post-natal uterine contraction, causing bleeding or uterine involution postpartum poor. Postpartum, due to a sudden reduction in uterine blood flow, the occurrence of degenerative changes more opportunities.
Maybe you want to see this article diagnosis and treatment of uterine
(1) clinical cure: the symptoms disappeared, the tumor dissipated, the uterus return to normal size.
(2) markedly effective: symptoms disappeared, the tumor was significantly reduced or B-review prompted three-path of the uterus and out more than 2.5cm.
(3) Effective: symptoms improved, but not significantly reduced the tumor, or B-review prompted three-path of the uterus and out 1.5 ~ 2.5cm.
(4) is invalid: no improvement of symptoms and signs. 2. Surgical treatment: surgery, the tumor and the symptoms disappeared, no complications to recovery.
Uterine fibroids and pregnancy interaction. Fibroids usually exist prior to pregnancy. Submucosal fibroids can block implantation Erzhi fecundity of infertility; even if fecundity to implantation, but also easy because of regular uterine contractions and early abortion. Intramural fibroids, especially in subserosal fibroids, generally do not affect the pregnancy, or increase the abortion rate. However, when uterine fibroids lead to pregnancy while incarcerated retroflexion, can cause urinary retention and pregnancy interruption. More rapid growth of uterine fibroids during pregnancy, and prone to variability, especially the red degeneration. Fibroid red degeneration, the inevitable severe abdominal pain, with nausea and vomiting, and increased temperature, such as elevated white blood cell count, by conservative treatment, symptomatic treatment, the majority of self-ease, or take line fibroid enucleation. Pregnancy, fibroids can cause premature delivery, often caused by malposition. Childbirth, in the uterine isthmus, or the cervix within the broad ligament of the myoma can still hinder the decreased fetal or cause uterine inertia and prolonged labor, cesarean surgery should be promptly implemented. Depending on whether the situation is the same time as myoma enucleation or hysterectomy. Fibroids may also affect placental separation or post-natal uterine contraction, causing bleeding or uterine involution postpartum poor. Postpartum, due to a sudden reduction in uterine blood flow, the occurrence of degenerative changes more opportunities.
Maybe you want to see this article diagnosis and treatment of uterine
Diagnosis and treatment of uterine fibroids
Uterine fibroids are the most common benign tumor of female genital mutilation, prevalent in 30 --- 50 women, 40 --- 50 years old were the most common age of 20 rare. The exact cause is not clear, according to occur in women of childbearing age, fibroids stop growing after menopause, or even shrinking, disappearance, suggesting that the incidence of uterine fibroids may be related to female hormones. Divided into two parts according to where the Palace fibroids fibroids (92%) and cervical fibroids (8%), according to the process of development of uterine fibroids muscle wall of the relationship between sub fibroids fibroids, subserosal fibroids , three types of submucosal fibroids, fibroids often more personality, the same types of fibroids in the uterus, said multiple uterine fibroids. Fibroids No obvious clinical symptoms, only to be found even when the pelvic examination. The most common symptoms of menstrual changes, for menorrhagia, menstruation, irregular cycles or bleeding. But can also lead to infertility, miscarriage, premature or difficult birth, symptoms may appear oppressive, heavy feeling, abdominal pain, abdominal mass, urinary tract and intestinal disorders. The onset of symptoms and the fibroids site, growth rate and myoma degeneration close.
Diagnosis and treatment: According to the symptoms, signs, supplemented by B-ultrasound can diagnose the majority of uterine fibroids. But for fibroids associated with other diseases need to intrauterine hysteroscopic aid to assist diagnosis of fibroids as submucosal fibroids, especially when less than 1cm, B super hard to find, therefore, excessive menstruation, the cycle is not Rules of the patients, the uterus is not, B ultrasonic examination no obvious abnormalities, the diagnosis should be performed hysteroscopy. Must pass through the treatment of uterine fibroids according to patient age, fertility requirements, symptoms, fibroid size, etc., consider the line of drug therapy or surgery. Need surgical treatment, the more the hysterectomy. Obstetrics and Gynecology Hospital of Jiaozuo City, in the city carried out the first hysteroscopic myomectomy, patients have symptoms of any submucosal fibroids, intramural fibroids within the sudden, cervical fibroids, fibroids 5cm in diameter, the following who can line Hysteroscopic myoma enucleation.
Maybe you want to see this article early signs of uterine fibroids
Diagnosis and treatment: According to the symptoms, signs, supplemented by B-ultrasound can diagnose the majority of uterine fibroids. But for fibroids associated with other diseases need to intrauterine hysteroscopic aid to assist diagnosis of fibroids as submucosal fibroids, especially when less than 1cm, B super hard to find, therefore, excessive menstruation, the cycle is not Rules of the patients, the uterus is not, B ultrasonic examination no obvious abnormalities, the diagnosis should be performed hysteroscopy. Must pass through the treatment of uterine fibroids according to patient age, fertility requirements, symptoms, fibroid size, etc., consider the line of drug therapy or surgery. Need surgical treatment, the more the hysterectomy. Obstetrics and Gynecology Hospital of Jiaozuo City, in the city carried out the first hysteroscopic myomectomy, patients have symptoms of any submucosal fibroids, intramural fibroids within the sudden, cervical fibroids, fibroids 5cm in diameter, the following who can line Hysteroscopic myoma enucleation.
Maybe you want to see this article early signs of uterine fibroids
Early signs of uterine fibroids!
Uterine fibroids are common in the female reproductive system of a benign tumor, more common in women aged 30-50, the occurrence of excessive and long-term estrogen stimulation (such as with repeated abortion) and other reasons related to the early majority found. If the woman has five kinds of cases under the circumstances, to cause alert to the hospital for further examination should be confirmed.
(1) menstrual changes. If you change the normal menstrual cycle, the blood increased, irregular menstruation and menstruation should be considered.
(2) pain. Patients suffering from uterine fibroids, most feel no pain, but there are few people in the occurrence of infection or fibroids after deformation, lower abdominal pain can occur.
(3) mass. The lower abdomen to touch the masses, especially in the case of filling the bladder urine mass touch more obvious.
(4) pressure. In patients with uterine fibroids, most people can not have any feeling, however, if the fibroids lower position, even if the tumor is not, it may compress the adjacent organs such as the oppression of the bladder, the dysuria; such as oppression of the rectum can occur defecation difficulties; such as the oppression back pain and other symptoms can occur ureter.
(5) infertility. In patients with uterine fibroids, the phenomenon of a few can cause infertility, its causes are fibroids cause distortion of a fertilized egg implantation disadvantage.
Once found out that the 1,2-species phenomenon, should seize the time to the hospital for further treatment.
Maybe you want to see this article people who suffer from uterine fibroids
(1) menstrual changes. If you change the normal menstrual cycle, the blood increased, irregular menstruation and menstruation should be considered.
(2) pain. Patients suffering from uterine fibroids, most feel no pain, but there are few people in the occurrence of infection or fibroids after deformation, lower abdominal pain can occur.
(3) mass. The lower abdomen to touch the masses, especially in the case of filling the bladder urine mass touch more obvious.
(4) pressure. In patients with uterine fibroids, most people can not have any feeling, however, if the fibroids lower position, even if the tumor is not, it may compress the adjacent organs such as the oppression of the bladder, the dysuria; such as oppression of the rectum can occur defecation difficulties; such as the oppression back pain and other symptoms can occur ureter.
(5) infertility. In patients with uterine fibroids, the phenomenon of a few can cause infertility, its causes are fibroids cause distortion of a fertilized egg implantation disadvantage.
Once found out that the 1,2-species phenomenon, should seize the time to the hospital for further treatment.
Maybe you want to see this article people who suffer from uterine fibroids
People who suffer from uterine fibroids do not contraception
Uterine fibroids are a common benign tumor of women. Can be single, but often multiple, that is, while in the womb can grow several tumors. If the outward growth of the tumor close to the surface, called subserosal fibroids; if long in the middle, called intramural fibroids; if the growth of the uterine cavity, known as submucosal fibroids. Can also be pedunculated fibroids, but more sessile fibroids. The form of large and small fibroids, the uterus can become a loss of normal morphology and irregular.
Such as fibroids in the uterine horn at the nozzle can be blocked fallopian tubes or the transfer of tubal pregnancy compression barrier and also because of changes in the uterine fibroids affect the form of fertilized egg implantation. Therefore, patients with fibroids are often combined infertility, is the old saying goes "a long build-up, not to have children."
But not all people do not long pregnant uterine fibroids. If the size and location of fibroids are still not pregnant, but pregnancy can trigger miscarriage, premature delivery, abnormal fetal position, childbirth, postpartum are also likely to have postpartum hemorrhage and secondary infection.
Therefore, people who suffer from uterine fibroids, if already have children, but also a good contraceptive measures should be taken, not the effect. The best tool to use male contraceptive or vaginal diaphragm, oral contraceptives generally should not, because there may promote tumor growth.
Maybe you want to see this article after removing fibroid growth can it
Such as fibroids in the uterine horn at the nozzle can be blocked fallopian tubes or the transfer of tubal pregnancy compression barrier and also because of changes in the uterine fibroids affect the form of fertilized egg implantation. Therefore, patients with fibroids are often combined infertility, is the old saying goes "a long build-up, not to have children."
But not all people do not long pregnant uterine fibroids. If the size and location of fibroids are still not pregnant, but pregnancy can trigger miscarriage, premature delivery, abnormal fetal position, childbirth, postpartum are also likely to have postpartum hemorrhage and secondary infection.
Therefore, people who suffer from uterine fibroids, if already have children, but also a good contraceptive measures should be taken, not the effect. The best tool to use male contraceptive or vaginal diaphragm, oral contraceptives generally should not, because there may promote tumor growth.
Maybe you want to see this article after removing fibroid growth can it
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