■本研究检查了有症状的子宫腺肌病妇女子宫动脉栓塞(UAE)后痛经和月经过多的改善情况,并确定了可以预测痛经和月经过多改善的因素。
这项回顾性研究纳入了2014年12月至2016年12月期间接受双侧UAE的子宫腺肌病女性。在UAE后5-7天评估T1加权图像上没有对比增强的体积百分比。使用受试者工作特征(ROC)分析来确定截止点并预测痛经和月经过多的改善。
■纳入48例患者。在阿联酋之后的24个月和36个月,痛经和月经过多的改善率分别为60.4%(29/48)和85.7%(30/35),复发率分别为19.4%(7/36)和9.1%(3/33),分别。只有T1加权图像上没有对比增强的体积百分比与痛经(p=0.001,OR=1.051;95%CI:1.02-1.08)和月经过多(p=0.006,OR=1.077;95%CI:1.021-1.136)的改善有关。当ROC分析的截止值为73.1%时,灵敏度,特异性,正预测值,痛经改善的阴性预测值为58.6%,94.7%,94.4%,60%,虽然他们是58.9%,80%,100%,100%,痛经的改善率为45.5%。
■双侧UAE治疗有症状的子宫腺肌病导致痛经和月经过多的良好改善。术后磁共振成像中子宫T1加权图像上没有对比增强的体积百分比可能与痛经和月经过多的改善有关。
本研究检查了有症状的子宫腺肌病妇女子宫动脉栓塞后痛经和月经过多的改善情况,并确定了可以预测痛经和月经过多改善的因素。这项回顾性研究包括子宫腺肌病患者,他们接受了子宫动脉栓塞术。共纳入48例患者。只有T1加权图像上没有对比增强的体积百分比与痛经和月经过多的改善有关。双侧子宫动脉栓塞治疗有症状的子宫腺肌病可带来良好的改善。子宫术后T1加权磁共振成像中图像上没有对比增强的体积百分比可能与痛经和月经过多的改善有关。
UNASSIGNED: This study examined the improvement of dysmenorrhoea and
menorrhagia after uterine artery embolisation (UAE) in women with symptomatic adenomyosis and identified factors that could predict the improvement of dysmenorrhoea and
menorrhagia.
UNASSIGNED: This retrospective study included women with adenomyosis who underwent bilateral UAE between December 2014 and December 2016. The percentage of the volume of the absence of contrast enhancement on T1-weighted images was evaluated 5-7 days after UAE. A receiver operating characteristic (ROC) analysis was used to determine a cut-off point and predict the improvement of dysmenorrhoea and
menorrhagia.
UNASSIGNED: Forty-eight patients were included. At 24 and 36 months after UAE, the improvement rates for dysmenorrhoea and
menorrhagia were 60.4% (29/48) and 85.7% (30/35), and the recurrence rates were 19.4% (7/36) and 9.1% (3/33), respectively. Only the percentage of the volume of the absence of contrast enhancement on T1-weighted images was associated with the improvement of dysmenorrhoea (p = 0.001, OR = 1.051; 95% CI: 1.02-1.08) and menorrhagia (p = 0.006, OR = 1.077; 95% CI: 1.021-1.136). When the cut-off value of the ROC analysis was 73.1%, sensitivity, specificity, positive predictive value, and negative predictive value for the improvement of dysmenorrhoea were 58.6%, 94.7%, 94.4%, and 60%, while they were 58.9%, 80%, 100%, 100%, and 45.5% for the improvement of dysmenorrhoea.
UNASSIGNED: Bilateral UAE for symptomatic adenomyosis led to good improvement of dysmenorrhoea and menorrhagia. The percentage of the volume of the absence of contrast enhancement on T1-weighted images of the uterus in postoperative magnetic resonance imaging might be associated with the improvement of dysmenorrhoea and menorrhagia.
This study examined the improvement of dysmenorrhoea and
menorrhagia after uterine artery embolisation in women with symptomatic adenomyosis and identified factors that could predict the improvement of dysmenorrhoea and
menorrhagia. This retrospective study included women with adenomyosis who underwent uterine artery embolisation. A total of 48 patients were included. Only the percentage of the volume of the absence of contrast enhancement on T1-weighted images was associated with improvement of dysmenorrhoea and menorrhagia. Bilateral uterine artery embolisation for symptomatic adenomyosis led to good improvement. The percentage of the volume of the absence of contrast enhancement on images in postoperative T1-weighted magnetic resonance imaging of the uterus might be associated with the improvement of dysmenorrhoea and menorrhagia.