The Evaluation of Curative Effect of Selective Uterine Artery Embolization with Color Doppler Ultrasound in Treating Hysteromyoma

Objective To assess the value of ultrasound in evaluating clinical effect of treatment of hysteromyoma uterine by selective uterine artery embolization ( UAE ) .Methods 42 hysteromyoma uterine in 30 cases were examed by color doppler ultrasound befort and after uterine artery embolization with one year monthly.The size , morphology,internal echotexture and doppler signal of the uterus and myoma were observed , and the doppler signal of uterine artery , peripheral and interal vascular in myoma were measured . Results There was significant difference of the average colume of the uterus and its myoma between preoperation and postoperation ( 491.37 cm3 vs 236.75 cm3,102.33 cm3 vs 48.87 cm3 respectively,Ρ0.01)three months after operation,the echo of myoma became smaller and smaller,then maintained stable.The echo of myoma changed from hyperecho to homogeneous slight hyperecho,isoecho or hypoecho and no liquefaction could be seen.The halo sign disappeared and became ring strong echo.There were no blood flow inside and around the myomas.The tolal curative rate was 90%.Conclusion UAE is an effective method in evaluation the curative effect of UAE in treating hysteromyoma uterine.