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Uterine artery embolization for adenomyosis without fibroids.

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dc.contributor.authorKim, MD-
dc.contributor.authorWon, JW-
dc.contributor.authorLee, DY-
dc.contributor.authorAhn, CS-
dc.date.accessioned2011-07-12T07:05:26Z-
dc.date.available2011-07-12T07:05:26Z-
dc.date.issued2004-
dc.identifier.issn0009-9260-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/3290-
dc.description.abstractAIM: To evaluate the potential usefulness of transcatheter uterine artery embolization as a treatment for symptomatic adenomyosis in patients without uterine fibroids.



MATERIALS AND METHODS: Uterine artery embolization using polyvinyl alcohol particles sized 250-710 mm was performed in 43 patients (mean; 40.3 years, range; 31-52 years) with dysmenorrhoea, menorrhagia, or bulk-related symptoms (pelvic heaviness, urinary frequency) due to adenomyosis without fibroids. All patients underwent pre-procedural and 3.5 months (range 1-8 months) follow-up magnetic resonance imaging (MRI) with contrast enhancement. Clinical symptoms were also assessed at the time of MRI before and after embolization.



RESULTS: Significant improvement of dysmenorrhoea (95.2%) and menorrhagia (95.0%) was reported in most patients. Contrast-enhanced MRI revealed non-enhancing areas suggesting coagulation necrosis of adenomyosis in 31 patients (72.1%), decreased size without necrosis in 11 patients (25.6%), and no change in one patient (2.3%). The mean volume reduction of the uteri after uterine artery embolization was 32.5% (from 321.7+/-142.9 to 216.7+/-130.1 cm(3)).



CONCLUSION: Transcatheter uterine artery embolization is an effective therapy for the treatment of symptomatic pure adenomyosis, and may be a valuable alternative to hysterectomy.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHArteries-
dc.subject.MESHCatheterization-
dc.subject.MESHDysmenorrhea-
dc.subject.MESHEmbolization, Therapeutic-
dc.subject.MESHEndometriosis-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMenorrhagia-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPatient Satisfaction-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterus-
dc.titleUterine artery embolization for adenomyosis without fibroids.-
dc.typeArticle-
dc.identifier.pmid15145722-
dc.identifier.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0009926004000285-
dc.contributor.affiliatedAuthor원, 제환-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.crad.2003.11.018-
dc.citation.titleClinical radiology-
dc.citation.volume59-
dc.citation.number6-
dc.citation.date2004-
dc.citation.startPage520-
dc.citation.endPage526-
dc.identifier.bibliographicCitationClinical radiology, 59(6). : 520-526, 2004-
dc.identifier.eissn1365-229X-
dc.relation.journalidJ000099260-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
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