UAE在妇产科疾病治疗中的新评价
To Re-Evaluate UAE in the Treatment of Gynecological and Obstetric Diseases
DOI: 10.12677/ACM.2019.93056, PDF,   
作者: 陈 星, 赖筱琍, 朱含笑, 叶丽娅, 梅双双：温州医科大学附属浙江省台州医院妇产科，浙江 临海；糜若然：天津医科大学总医院妇产科，天津
关键词: 子宫动脉栓塞术；妇产科疾病；治疗；并发症；Uterine Artery Embolisation； The Diseases of Obstetrics and Gynecology； Treatment； Complication
摘要: UAE (uterine artery embolisation)是属于血管介入的新的微创治疗方法，目前广泛应用于妇产科疾病领域，均取得了不错的治疗效果。本综述评价了UAE在妇产科疾病领域的应用范围、适应症、预后结局，其对生育的影响，经济费用，尤其是并发症的介绍，对有生育要求的、再次生育及妊娠的影响。提出：临床医生在合理应用UAE时，更应充分评估其并发症及其对生育功能的影响。
Abstract: UAE (uterine artery embolization) is a new minimally invasive alternative procedure to surgery with reduced morbidity and mortality, and preserves the patient’s future fertility potential, which is widely used as a management of various gynecologic and obstetric abnormalities and has ob-tained good therapeutic effects. This review evaluates the applied range, indications, prognosis in obstetrics and gynecology disease, influence on fertility, economic cost, especially the complications of these diseases, and influence on fertility and pregnancy again of UAE. In short words, UAE must be carefully and rationally used, and the complications should be seriously evaluated and considered, especially potential impacts on fertility and pregnancy in child-bearing period in women.
文章引用：陈星, 赖筱琍, 朱含笑, 叶丽娅, 梅双双, 糜若然. UAE在妇产科疾病治疗中的新评价[J]. 临床医学进展, 2019, 9(3): 365-372. https://doi.org/10.12677/ACM.2019.93056

参考文献

[1] 陈春林, 刘萍, 迟雪东. 妇产科放射介入治疗学[M]. 北京: 人民卫生出版社, 5-8.
[2] Brown, B.J., Heaston, D.K., Poulson, A.M., et al. (1979) Uncontrollable Postpartum Bleeding: A New Approach to Hemostasis through An-giographic Arterial Embolization. Obstetrics & Gynecology, 54, 361-365.
[3] Das, C.J., Rathinam, D., Manchanda, S., et al. (2017) Endovascular Uterine Artery Interventions. The Indian Journal of Radiology and Imaging, 27, 488-495. [Google Scholar] [CrossRef] 
[4] Shahin, Y. and Pang, C.L. (2018) Endovascular Interventional Mo-dalities for Haemorrhage Control in Abnormal Placental Implantation Deliveries: A Systematic Review and Me-ta-Analysis. European Radiology, 28, 2713-2726.
[5] Matsuzaki, S., Yoshino, K., Endo, M., et al. (2018) Conserva-tive Management of Placenta Percreta. International Journal of Gynecology & Obstetrics, 140, 299-306. [Google Scholar] [CrossRef] [PubMed]
[6] Ravina, J.I., Herbreteau, D., Ciraru, V.N., et al. (1995) Arterial Embolistion to Treat Uterine Myomata. The Lancet, 346, 671-672. [Google Scholar] [CrossRef] 
[7] 牛惠敏, 王治全, 陈强, 等. 子宫肌瘤的介入治疗[J]. 现代医学影像学, 1998, 3(7): 126-128.
[8] Worthington-Kirsch, R., Spies, J.B., Myers, E.R., et al. (2005) The Fibroid Registry for Outcomes Data (FIBROID) for Uterine Embolization: Short-Term Outcomes. Obstetrics & Gynecology, 106, 52-59. [Google Scholar] [CrossRef] 
[9] Paxton, B.E., Lee, J.M. and Kim, H.S. (2006) Treatment of Intrauterine and Large Pedunculated Subserosal Leiomyomata with Sequential Uterine Artery Embolization and Myomectomy. Journal of Vascular and Interventional Radiology, 17, 1947-1950. [Google Scholar] [CrossRef] 
[10] Lacayo, E.A., Richman, D.L., Acord, M.R., et al. (2017) Leiomyoma Infarction after Uterine Artery Embolization: Influence of Embolicagent and Leiomyoma Size and Location on Outcome. Journal of Vascular and Interventional Radiology, 28, 1003-1010.
[11] Keung, J.J., Spies, J.B. and Caridi, T.M. (2018) Uterine Artery Embolization: A Review of Current Concepts. Best Practice & Research: Clinical Obstetrics & Gynaecology, 46, 66-73. [Google Scholar] [CrossRef] [PubMed]
[12] Dariushnia, S.R., Nikolic, B., Stokes, L.S., et al. (2014) Quality Improvement Guidelines for Uterine Artery Embolization for Symptomatic Leiomyomata. Journal of Vascular and Interventional Radiology, 25, 1737-1747.
[13] Resnick, N.J., Kim, E., Patel, R.S., et al. (2014) Uterine Artery Embolization Using a Transradial Approach: Initial Experience and Technique. Journal of Vascular and Interventional Radiology, 25, 443-447.
[14] Posham, R., Biederman, D.M., Patel, R.S., et al. (2016) Transradial Approach for Noncoronary Interventions: A Single-Center Review of Safety and Feasibility in the First 1,500 Cases. Journal of Vascular and Interventional Radiology, 27, 159-166.
[15] Noel-Lamy, M., Tan, K.T., Simons, M.E., et al. (2017) Intraarterial Lidocaine for Pain Control in Uterine Artery Embolization: A Prospective, Randomized Study. Journal of Vascular and Interventional Radiology, 28, 16-22.
[16] Guyer, A., Raggio, T., Sor, M., et al. (2017) Safety of Uterine Artery Embolization Performed as an Outpatient Procedure: Retrospective Analysis of 876 Patients across a Network of 26 Outpatient Interventional Radiology Practices. Journal of Vascular and Interventional Radiology, 28, S47.
[17] Gupta, J.K., Sinha, A., Lumsden, M.A. and Hickey, M. (2014) Uterine Artery Embolization for Symptomatic Uterine Fibroids. Cochrane Database of Systematic Reviews, 12, CD005073. [Google Scholar] [CrossRef] 
[18] Bratby, M.J. and Walker, W.J. (2009) Uterine Artery Embolisation for Symptomatic Adenomyosis—Mid-Term Results. European Journal of Radiology, 70, 128-132. [Google Scholar] [CrossRef] [PubMed]
[19] Froeling, V., Scheurig-Muenkler, C., Hamm, B., et al. (2012) Uterine Artery Embolization to Treat Uterine Adenomyosis with or without Uterine Leiomyomata: Results of Symptom Control and Health-Related Quality of Life 40 Months after Treatment. CardioVascular and Interventional Radiology, 35, 523-529. [Google Scholar] [CrossRef] [PubMed]
[20] Le Gall, J., Fichez, A., Lamblin, G., et al. (2015) Cesarean Scar Ectopic Pregnancies: Combined Modality Therapies with Uterine Artery Embolization before Surgical Procedure. Gynécologie Obstétrique & Fertilité, 43, 191-199. [Google Scholar] [CrossRef] [PubMed]
[21] Qiao, B., Zhang, Z. and Li, Y. (2016) Uterine Artery Emboli-zation versus Methotrexate for Cesarean Scar Pregnancy in a Chinese Population: A Meta-Analysis. Journal of Mini-mally Invasive Gynecology, 23, 1040-1048. [Google Scholar] [CrossRef] [PubMed]
[22] Río de la Loza Cava, L. and Moyers Arévalo, J.A. (2012) Ectopic Cervical Pregnancy, When Conservative Treatment Fails. Case Report and Literature Review. Ginecología y obstetricia de México, 80, 668-672.
[23] Chaudhary, V., Sachdeva, P., Kumar, D., et al. (2013) Conservative Management of Cervical Pregnancy: A Report of Two Cases. The Journal of Reproductive Medicine, 58, 451-457.
[24] Kadija, S., Stefanovic, A., Jeremic, K., et al. (2016) Successful Conservative Treatment of a Cervical Ectopic Pregnancy at 13 Weeks. Clinical and Experimental Obstetrics and Gynecology, 43, 291-293.
[25] Lee, J.W., Song, I.A., Ryu, J., et al. (2014) Anesthetic Management of a Parturient with Placenta Previa Totalis Undergoing Preventive Uterine Artery Embolization before Placental Expulsion during Cesarean Delivery: A Case Report. Korean Journal of Anesthesiology, 67, 279-282. [Google Scholar] [CrossRef] [PubMed]
[26] Kohi, M.P., Poder, L., Thiet, M.P., et al. (2017) Uterine Artery Embolization Prior to Gravid Hysterectomy in the Setting of Invasive Placenta. Journal of Vascular and Interventional Radiology, 28, 1295-1297. [Google Scholar] [CrossRef] [PubMed]
[27] Yalvac, S., Kayikcioglu, F., Boran, N., et al. (2002) Embolization of Uterine Artery in Terminal Stage Cervical Cancers. Cancer Investigation, 20, 754-758. [Google Scholar] [CrossRef] 
[28] Nogueira-García, J., Moreno-Selva, R., Ruiz-Sánchez, M.E., et al. (2015) Uterine Artery Embolization as Palliative Treatment in Cervical Cancer. Ginecología y obstetricia de México, 83, 289-293.
[29] Goodwin, S.C. and Walker, W.J. (1998) Uterine Artery Embolization for the Treatment of Uterine Fibroids. Current Opinion in Obstetrics and Gynecology, 10, 315-320. [Google Scholar] [CrossRef] [PubMed]
[30] Bradley, E.A., Reidy, J.F., Forman, R.G., et al. (1998) Transcatheter Uterine Artery Embolisation to Treat Large Uterine Fibroids. British Journal of Obstetrics and Gynae-cology, 105, 235-240. [Google Scholar] [CrossRef] [PubMed]
[31] Wang, Y. and Huang, X. (2018) Sepsis after Uterine Artery Embolization-Assisted Termination of Pregnancy with Complete Placenta Previa: A Case Report. Journal of International Medical Research, 46, 546-550. [Google Scholar] [CrossRef] [PubMed]
[32] Toor, S.S., Jaberi, A., Macdonald, D.B., et al. (2012) Complica-tion Rates and Effectiveness of Uterine Artery Embolization in the Treatment of Symptomatic Leiomyomas: A Systematic Review and Meta-Analysis. American Journal of Roentgenology, 199, 1153-1163. [Google Scholar] [CrossRef] 
[33] Kitamura, Y., Ascher, S.M., Cooper, C., et al. (2005) Imaging Mani-festations of Complications Associated with Uterine Artery Embolization. Radiographics, 25, S119-S132. [Google Scholar] [CrossRef] [PubMed]
[34] Qiu, J., Fu, Y., Huang, X., et al. (2018) Acute Pulmonary Embolism in a Patient with Cesarean Scar Pregnancy after Receiving Uterine Artery Embolization: A Case Report. Therapeutics and Clinical Risk Management, 14, 117-120. [Google Scholar] [CrossRef] 
[35] Woźniakowska, E., Milart, P., Paszkowski, T., et al. (2013) Uterine Artery Embolization—Clinical Problems. Ginekologia Polska, 84, 1051-1054.
[36] Kaump, G.R. and Spies, J.B. (2013) The Impact of Uterine Artery Embolization on Ovarian Function. Journal of Vascular and Interventional Radiology, 24, 459-467. [Google Scholar] [CrossRef] [PubMed]
[37] Takeda, J., Makino, S., Ota, A., et al. (2014) Spontaneous Uterine Rupture at 32 Weeks of Gestation after Previous Uterine Artery Embolization. Journal of Obstetrics and Gynaecology Research, 40, 243-246. [Google Scholar] [CrossRef] [PubMed]
[38] Poujade, O., Ceccaldi, P.F., Davitian, C., et al. (2013) Uterine Necrosis Following Pelvic Arterial Embolization for Post-Partum Hemorrhage: Review of the Literature. European Journal of Obstetrics Gynecology and Reproductive Biology, 170, 309-314. [Google Scholar] [CrossRef] [PubMed]
[39] Rohilla, M., Singh, P., Kaur, J., et al. (2014) Uterine Necrosis and Lumbosacral-Plexopathy Following Pelvic Vessel Embolization for Postpartum Haemorrhage: Report of Two Cases and Review of Literature. Archives of Gynecology and Obstetrics, 290, 819-823. [Google Scholar] [CrossRef] [PubMed]
[40] Siskin, G.P. (2000) UAE Complication. Journal of Vascular and Interventional Radiology, 11, 32-33. [Google Scholar] [CrossRef] 
[41] Rastogi, S., Wu, Y.H., Shlansky-Goldberg, R.D., et al. (2004) Acute Renal Failure after Uterine Artery Embolization. CardioVascular and Interventional Radiology, 27, 549-550. [Google Scholar] [CrossRef] [PubMed]
[42] Peters, S., Wise, M. and Buckley, B. (2017) An Unex-pected Complication Following Uterine Artery Embolisation. BMJ Case Reports, 26, pii: bcr-2016-217238.
[43] Yoneta, K., Fujii, N., Dendo, S., et al. (2018) Erythema Nodosum-Like Eruption after Uterine Artery Embolization: A Case Report and Literature Review. European Journal of Dermatology, 28, 239-240.
[44] Kim, C.W., Shim, H.S., Jang, H., et al. (2016) The Effects of Uterine Artery Embolization on Ovarian Reserve. European Journal of Obstetrics Gynecology and Reproductive Biology, 206, 172-176. [Google Scholar] [CrossRef] [PubMed]
[45] Goldberg, J., Pereira, L., Berghella, V., et al. (2004) Pregnancy Outcomes after Treatment for Fibromyomata: Uterine Artery Embolization versus Laparoscopic Myomectomy. American Journal of Obstetrics & Gynecology, 191, 18-21.
[46] Homer, H. and Saridogan, E. (2010) Uterine Artery Embolization for Fibroids Is Associated with an Increased Risk of Miscarriage. Fertility and Sterility, 94, 324-330.
[47] Mohan, P.P., Hamblin, M.H. and Vogelzang, R.L. (2013) Uterine Artery Embolization and Its Effect on Fertility. Journal of Vascular and Interventional Radiology, 24, 925-930.
[48] Speir, E., Shekhani, H. and Peters, G. (2017) Temporary Anorgasmia Following Uterine Artery Embolization for Symptomatic Uterine Fibroids. CardioVascular and Interventional Radiology, 40, 1792-1795. [Google Scholar] [CrossRef] [PubMed]

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