Analysis of the Curative Effects of Interventional Therapy for Adenomyosis in 39 Cases

Objective To explore the curative effects of uterine arterial embolization(UAE) in treating adenomyosis.Methods Bilateral UAE was performed by Seldinger’s technique in 39 patients with adenomysis (11 cases coexisted with uterine leiomyoma).The catamenia,menorrhalgia,anemia,the size of uterus and lesions were observed after procedure.Results 6 months after treatment,mean catamenia was reduces 56.2%(Ρ0.01),dysmenorrhea was alleviated obsviously in 3 cases(7.7%),completely disappeared in 36 cases (92.3%),the effective rate was 100%.In all patients with anemia,Hb was returned to normal value(100%).A mean 41.3% reduction of uterine volume were obtained,the lesions were reduced obviously or disappeared.The signal of blood flow within the myometrium and lesions decresed significantly examined by ultrosound.Conclusion UAE has good curative effects in short term for adenomyosis,longer follow-up is require to assess the long term effects.