Experience of uterine artery embolization in case of uterine myoma at the gynecological clinic of State Budgetary Healthcare Institution of Nizhny Novgorod region Nizhny Novgorod Regional Clinical Hospital named after N.A.Semashko
Introduction. Myoma of the uterus refers to benign tumors and occurs in 25-50% of women. At present, embolization of uterine arteries is widely used in the treatment of uterine fibroids (EMA). Purpose of the study was to evaluate the efficacy and safety of EMA in patients of reproductive age with different localization of myoma nodes and severity of postembolization syndrome (PES). Materials and methods. Embolization of the uterine arteries was performed in 55 patients with uterine myoma during the period 2015-2017 on the basis of the gynecological clinic of the Clinical Hospital Semashko. The procedure was performed in the X-ray room of the operating hospital. Results and discussion. The duration of follow-up after EMA was from one to twelve months. The effectiveness of embolization was assessed by the dynamics of the size of the uterus, the dominant myoma node and clinical symptoms. Six months later, the maximum reduction in the size of the myoma nodes was noted. Сonclusion. Our observations testified to the efficacy and safety of use EMA in the treatment of uterine fibroids, which is a complete, minimally invasive and organ-preserving alternative to surgical and conservative treatment.