Experienţa Clinicii de Obstetrică-Ginecologie a Spitalului Universitar Bucureşti în embolizarea arterelor uterine în scop hemostatic la pacientele diagnosticate cu neoplasm de col uterin avansat

 The experience of the Obstetrics-Gynecology Department of University Emergency Hospital Bucharest in haemostatic uterine artery embolization in patients diagnosed with advanced cervical cancer

First published: 15 noiembrie 2016

Editorial Group: MEDICHUB MEDIA

Abstract

Uterine arteries embolization is the most modern method in interventional treatment with haemostatic purpose for patients diagnosed with benign and malignant uterine tumors. This technique involves injecting particles of poly­vinyl alchohol into the vessels that supply the tumor by brachial approach. After the intervention, tumor involution was observed, as well as a decrease in uterine bleeding, and a disappearance of intraabdominal pressure sensation. We conducted a retrospective observational study analyzing patients hospitalized in the Bucharest University Emergency Hospital, OBGYN department, in the period 1/01/2013 - 31/12/2015 diagnosed with uterine tumors, registering 457 patients. 16 patients of these, representing 3.5%, were diagnosed with inoperable cervical cancer, to whom we practiced uterine arteries embolization for haemostatic purpose. The average age of the patients in the evaluated group was 63 years old. Supraselective cervico-vaginal arteries embolization is an extremely effective method in reducing or even stoping cervical bleeding, in patients with inoperable cervical cancer, having an esential role in increasing the quality of life for these patients and in reducing complications caused by local invasion and haemorrhages.
 

Keywords
cervical cancer, uterine arteries embolization, metrorrhagia

Rezumat

Embolizarea arterelor uterine este cea mai modernă metodă de tratament intervenţional în scop hemostatic la pacientele diagnosticate cu tumori benigne şi maligne uterine. Această tehnică presupune injectarea de particule de polivinil alcool în vasele tributare tumorii prin abord brahial. Postembolizare, s-a constatat involuţia tumorilor, cu diminuarea metroragiilor şi dispariţia senzaţiei de presiune intraabdominală. Am efectuat un studiu observaţional retrospectiv, analizând pacientele internate în Clinica de Obstetrică-Ginecologie a Spitalului Universitar de Urgenţă Bucureşti, în perioada 1.01.2013 - 31.12.2015, diagnosticate cu tumori uterine, înregistrându-se 457 de paciente. Dintre acestea, 16 paciente, reprezentând 3,5%, au fost diagnosticate cu neoplasm de col uterin depăşit chirurgical, cărora li s-a practicat embolizarea arterelor uterine în scop hemostatic. Media de vârstă a pacientelor din lotul evaluat a fost 63 de ani. Embolizarea supraselectivă a arterelor cervico-vaginale este o metodă extrem de eficientă în diminuarea sau chiar sistarea cervicoragiilor la pacientele cu neoplasm de col uterin depăşit chirurgical, având un rol esenţial în creşterea calităţii vieţii la aceste bolnave, precum şi în scăderea complicaţiilor determinate de invazia locală şi de hemoragii.
 

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