Author/Editor		But, Igor; Matela, Jože
Title		Embolizacija uterine arterije, nova metoda zdravljenja miomov maternice
Translated title		Uterine artery embolization - a new method of treatment for uterine fibroids
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 4
Publication year		2004
Volume		str. 309-12
Language		slo
Abstract		Background. Uterine artery embolization (UAE) represents a novel, minimally invasive method of treatment for uterine fibroids. It has been carried out at Maribor Teaching Hospital since 2001 The aim of our investigation was to appraise the eventual objective improvement following the procedure, and at the same time to establish how the patients experienced the procedure itself and how they estimated its success three months later. Methods. UAE was carried out in 28 patients with a solitary uterine fibroid. At the end of the first and third month post UAE we measured the size of the fibroid and calculated its volume on a monthly basis using the ultrasonographic device ATL-HDI 3000. To all patients, in whom UAE had been performed more than three months earlier, a special questionnaire form with enclosed visual analogue scale was mailed. They were asked to evaluate the success of treatment. Nonparametric descriptive statistics was used for data description. Results. The mean diameter of the fibroids prior to UAE amounted to 63 mm - in 71.4% of these fibroids the location was transmural. The procedure was successful in 26 patients (92.9%). In the first month post UAE two submucous fibroids were eliminated spontaneously while the rest were decreased by 54.0% three months after the procedure. Three months post UAE the leading symptom improved by over 72.7% and as many as 90.9% of women believe that their quality of life improved significantly after UAE They estimated the degree of improvement at an average 58.6%. Conclusions. Our results show that UAE is a very effective and safe method of treatment for symptomatic fibroids of the uterus. Our patients are satisfied with the results of the procedure. However, their satisfaction would be even greater if a more appropriate post-embolization analgesia were at their disposal.
Summary		Izhodišča. Embolizacija uterine arterije (EUA) je novejša, minimalno invazivna metoda zdravljenja miomov maternice, ki jo od leta 2002 izvajamo tudi v Splošni bolnišnici Maribor. Namen naše raziskave je bila oceniti morebitno objektivno izboljšanje po posegu, hkrati pa smo želeli tudi ugotoviti, kako so sam poseg doživele bolnice in kako po treh mesecih ocenjujejo njegov uspeh. Metode. EUA smo izvedli pri 28 bolnicah s solitarnim miomom maternice. Ob koncu prvega in tretjega meseca po EUA smo s pomočjo ultrazvočne naprave ATL-HDI 3000 izmerili velikost in nato izračunali volumen mioma. Vsem bolnicam, pri katerih je bila EUA izvedena pred več kot tremi meseci, smo po pošti na dom poslali poseben vprašalnik s priloženo vizualno analogno lestvico ter jih zaprosili za njihovo oceno uspeha zdravljenja. Pri opisovanju podatkov smo uporabili neparametrično deskriptivno statistiko. Rezultati. Povprečni premer miomov je pred EUA znašal 63 mm, ti miomi pa so v 71,4% ležali transmuralno. Poseg je uspel pri 26 bolnicah (92,9%), v prvem mesecu po EUA sta se spontano izločila dva submukozna mioma, ostali miomi pa so se 3 mesece po posegu zmanjšali za 54,0%. Tri mesece po EUA se je vodilni simptom izboljšal za več kot 72,7% in kar 90,9% žensk meni, da je njihova kakovost življenja po EUA bistveno boljša, stopnjo izboljšanja pa so ocenile v povprečju kot 58, 6%. Zaključki. Naši rezultati kažejo, da je EUA zelo učinkovita in tudi varna metoda zdravljenja simptomatskih miomov maternice. Bolnice so s posegom zadovoljne, njihovo zadovoljstvo pa bi bilo še večje, če bi bila analgezija v obdobju po embolizaciji ustreznejša.
Descriptors		LEIOMYOMA UTERINE NEOPLASMS EMBOLIZATION, THERAPEUTIC TREATMENT OUTCOME