Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization
Yıl: 2020 Cilt: 16 Sayı: 2 Sayfa Aralığı: 152 - 159 Metin Dili: İngilizce DOI: doi: 10.5222/BMJ.2020.14622 İndeks Tarihi: 27-11-2020
Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization
Öz: Objective: We aimed to examine the technical success, early-stage clinical results and radiological follow up findings of uterine artery embolization (UAE) treatment for symptomatic uterine fibroids in patients. Method: In the present study, we retrospectively evaluated the patients who were admitted to our hospital. Between February 2017 and July 2019 with symptoms due to uterine fibroids namely myomas and underwent endovascular embolization treatment. Patients with complaints of excessive, prolonged, irregular, and frequent episodes of uterine bleeding, anemia, abdominal pain, palpable mass, and pollakiuria associated with uterine myoma which impaired quality life of the patients were included in this study. In addition, Magnetic Resonance Imaging (MRI) findings, and clinical symptoms of all patients before UAE, and 6th months after UAE were recorded. Results: In our study, a total of 40 patients aged between 23-50 years (mean 41.3), one of whom had a history of hysterectomy underwent UAE procedure in our hospital. In our series, clinical symptoms, MRI and digital subtraction angiography (DSA) findings were presented. Uterine fibroid volumes as estimated based on MRI images obtained before - and 6 months after UAE were recorded (234,47±76,48 vs 17,27±43,53 (p=0,001). Embolization was cancelled due to intense atherosclerotic causes in one patient, and embolization of unilateral uterine artery could be achieved. The remaining 39 patients underwent successful UAE procedure bilaterally. There were no complications associated with endovascular procedure. After the procedure, all of these 39 patients were discharged on the same day following bed rest and one patient could be discharged one week later due to the development of urosepsis. Conclusion: UAE is a novel treatment modality which is being increasingly used in patients with symptomatic uterine fibroids, and it is an important and effective treatment option since it is much less invasive compared to hysterectomy, does not require hospitalization after the procedure and can be performed under simple sedation or spinal anesthesia.
Anahtar Kelime: Uterin Arter Embolizasyon Tedavisi Yapılan Semptomatik Uterin Miyomu Olan Hasta Grubunda Klinik ve Manyetik Rezonans Görüntüleme Bulgularımız
Öz: Amaç: Çalışmamızda miyom nedeniyle semptomları olan hasta grubunda Uterin Arter Embolizasyon (UAE) tedavisinin teknik başarı, erken dönem klinik sonuçları ve radyolojik takip bulgularını gözden geçirmeyi amaçladık. Yöntem: Şubat 2017-Temmuz 2019 tarihleri arasında hastanemize uterin fibroide yani miyoma bağlı semptomları nedeniyle başvurup UAE tedavi işlemi uygulanan hastaları retrospektif olarak inceledik. Çalışmaya yaşam kalitesini bozacak şekilde miyoma bağlı miktar olarak fazla, uzun süreli, sık ve düzensiz aralıklarla olan uterin kanamalar,anemi, karın ağrısı, ele gelen kitle ve sık idrara çıkma şikayetleri olan hastalar dahil edildi. Tüm hastalarda UAE öncesi ve UAE sonrası 6. ayda, manyetik rezonans görüntüleme (MRG) ile klinik semptomları kaydedildi. Bulgular: Çalışmamızda uterin fibroide bağlı semptomları olan 23-50 yaş arası (ort. 41,3) daha önce bir tanesi histerektomi operasyonu geçirmiş olmak üzere toplam kırk hastaya UAE işlemi yapıldı. Serimizde hastaların klinik semptomları, MR ve dijital subtraksiyon anjiyografi (DSA) bulguları sunulmuştur. UAE öncesi ve 6. ayda total, MR Uterin fiboid hacmi; 234,47±76,48 ve 117,27±43,53 (p=0,001) olup UAE öncesi ve 6. aydaki değerleri kayıt altına alındı. Bir hastada yoğun aterosklerotik sebeplerden dolayı işlem iptal edilmiş olup tek taraflı uterin arter embolize edilebilmiştir. Otuz dokuz hastada çift taraflı olarak başarılı bir şekilde UAE işlemi uygulanmıştır. Hastalarda endovasküler işlemle ilişkili herhengi bir komplikasyon gelişmedi. Toplam 39 hasta işlemin ertesi günü yatak istirahatini takiben aynı gün taburcu edilmiş olup 1 hastada ürosepsis gelişmesi nedeniyle 1 hafta sonra tabucu edilebilmiştir. Sonuç: UAE miyomu olan hastalarda giderek artar sıklıkta kullanılmakta olan öncelikle tercih edilmesi gereken alternatif bir tedavi yöntemi olup histerektomiye göre çok daha az invaziv olması, işlem sonrası hastanede yatış gerektirmemesi ve basit sedasyon ya da spinal anestezi altında yapılabilir olması ile önemli alternatif bir seçenektir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Çakır Ç, KILINÇ F, Erbahceci Salik A, Selcuk H (2020). Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. , 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| Chicago | Çakır Çağlayan,KILINÇ Fatih,Erbahceci Salik Aysun,Selcuk Hakan Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. (2020): 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| MLA | Çakır Çağlayan,KILINÇ Fatih,Erbahceci Salik Aysun,Selcuk Hakan Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. , 2020, ss.152 - 159. doi: 10.5222/BMJ.2020.14622 |
| AMA | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. . 2020; 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| Vancouver | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. . 2020; 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| IEEE | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H "Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization." , ss.152 - 159, 2020. doi: 10.5222/BMJ.2020.14622 |
| ISNAD | Çakır, Çağlayan vd. "Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization". (2020), 152-159. https://doi.org/doi: 10.5222/BMJ.2020.14622 |
| APA | Çakır Ç, KILINÇ F, Erbahceci Salik A, Selcuk H (2020). Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. Bakırköy Tıp Dergisi, 16(2), 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| Chicago | Çakır Çağlayan,KILINÇ Fatih,Erbahceci Salik Aysun,Selcuk Hakan Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. Bakırköy Tıp Dergisi 16, no.2 (2020): 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| MLA | Çakır Çağlayan,KILINÇ Fatih,Erbahceci Salik Aysun,Selcuk Hakan Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. Bakırköy Tıp Dergisi, vol.16, no.2, 2020, ss.152 - 159. doi: 10.5222/BMJ.2020.14622 |
| AMA | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. Bakırköy Tıp Dergisi. 2020; 16(2): 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| Vancouver | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization. Bakırköy Tıp Dergisi. 2020; 16(2): 152 - 159. doi: 10.5222/BMJ.2020.14622 |
| IEEE | Çakır Ç,KILINÇ F,Erbahceci Salik A,Selcuk H "Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization." Bakırköy Tıp Dergisi, 16, ss.152 - 159, 2020. doi: 10.5222/BMJ.2020.14622 |
| ISNAD | Çakır, Çağlayan vd. "Our Magnetic Resonance Imaging Findings in Symptomatic Uterine Fibroid Patients Who Underwent Uterine Artery Embolization". Bakırköy Tıp Dergisi 16/2 (2020), 152-159. https://doi.org/doi: 10.5222/BMJ.2020.14622 |
