Abstract:
The objective of the study was to demonstrate the efficiency of uterine arteries embolisation
in the treatment of uterine myoma (reduced size nodules, symptoms, menstrual regulation).As
methods was used a retrospective study was performed in 30 patients, aged 35-45 years, admitted in
the Republican Hospital in 2004-2007 with a diagnosis of uterine myoma and clinical (menorrhagia,
dysmenorrhea, abdominal pain , pelvic pain, dysuria, constipation). Patients were performed:
Ultrasound of the internal organs until and after the uterine arteries embolization (6 months),
endometrial biopsy with morfohistological examination, examination of the sexually transmitted
infections. Myomas nodules sizes were: 7% ±10 cm, 27% ±9cm, 17% ±7 cm, 30% ±5 cm, 20% ±3
cm.The results of the study showed that in 96. 7% of patients (26) reduced the size of myomas
nodules, had improved symptoms, menstrual cycle was set. In the group of patients with nodules of 2
6 cm (67%) as a result of the embolisation nodules completely disappeared over a year. Nodule size
larger than 6 cm or shrink by more than Vi, need a conservative myomectomy. At 3. 3% of patients
(1) amenorrhea has been installed at 3 months after surgery. At 6. 6% of patients (2) soon after
intervention were bom. As a conclusion we mention that the study showed that UAE is an effective
way, no treated case was not finished with a hysterectomy. Menstrual function was preserved in
96.7% cases, 2 patients recovered and reproductive function. The method is final if nodules smaller
than 6 cm or submucosa as transvaginal abolition or necrotizing. If nodules > 6 cm embolisation
method only reduces them and is less bloody conservative myomectomy.
