子宫动脉栓塞术

准备

After midnight the night before your UAE procedure, you should not eat or drink anything. Aspirin, Advil, Motrin or ibuprofen should not be taken five days before the procedure. 这些药物可以稀释你的血液. 然而, 阿联酋程序的上午, you may take other medications that you usually take with a small sip of water. 如果你服用香豆素, Plavix, 肝素, 葡萄糖噬菌体或肝素, please talk to your doctor about when to stop taking these medications.

过程

UAE takes approximately two hours and is performed in a radiology suite rather than an operating room by an interventional radiologist. The first part of the procedure is called an arteriogram, also known as an angiogram. This involves taking a series of X-ray pictures of the arteries that are supplying the uterine fibroid after "contrast" material (X-ray dye) is injected into the artery, 使它们可见.

第一个, an intravenous (IV) line is placed in your arm so that you are able to receive fluids and medications during the procedure. Your groin area will be shaved and cleaned with a sterile solution to help prevent infection. 然后你将被无菌长袍覆盖. 将在皮肤部位注射局部麻醉剂. You will also be sedated, which will keep you awake but sleepy during the procedure.

A needle will be placed in an artery in your leg, at the groin crease. A thin, flexible tube, called a catheter, will then be placed into the artery and dye is injected. X-rays are taken of the arteries that supply the uterine fibroid or 肌瘤. The catheter is then used to deliver particles to these arteries to block the flow of blood. These particles are called polyvinyl alcohol and are the size of a grain of sand. They are mixed with a dye and injected slowly while your doctors make sure they only go to the fibroid. 阻断动脉流动需要几分钟. After the left and right uterine arteries are blocked, another arteriogram is performed. The catheter is removed and 压力 is held over this area for approximately 15 minutes.

复苏

手术后, you must be on bed rest for six hours lying flat with the leg in which the catheter was placed straight. 患者感受到的疼痛程度各不相同. The most significant pain usually occurs immediately following the procedure and over the next six hours. 病人 report that this pain is similar to menstrual cramps. 有些病人不会感到疼痛.

病人通常在十大赌博平台排行榜过夜, so that the arterial access site and your pain are monitored. 第二天早上你就可以回家了. 大多数病人可以在一周内完全恢复活动.

Once you return home, you must adhere to the following instructions to ensure a smooth recovery:

• Drink eight glasses of liquid such as water, juice or soda once you return home. 出院后你就可以开始正常的饮食了.
• Avoid strenuous activity such as housework and heavy yard work for 48 hours. Most patients can return to their normal activities in a week.
• 24小时不开车.
• 五天不洗热水澡. 你可以洗澡了.

Notify the Interventional Radiology office if any of the following occur:

• 伤口处出血.
• Any unusual pain in the entry site or the leg in which the catheter was placed.
• 腿部颜色或温度的任何变化. 可能会出现小瘀伤，这是正常的.

If any of these occurs or if you have question after your procedure, 请拨打(415)353 -1300.m. 还有5p.m.，介入放射科十大赌博平台排行榜会与你联系. Outside of business hours, page us at (415) 719-9417 and key in your call-back number.

请阅读我们关于的完整文章 阿联酋之后的家庭护理.

疗效及并发症

When blood flow to the fibroid is blocked, the fibroid gets no oxygen and will begin to die. 这个过程需要几天到几个月的时间. During this time the fibroid shrinks by about 40 to 50 percent and the uterus by about 30 to 40 percent. Our experience and the scientific literature suggest that symptoms will improve in 80 to 90 percent of patients. 对一些人来说，阿联酋是无效的.

Serious complications occur in less than 4 percent of patients. These include injury to a vessel, uterine infection, blood clots and injury of the ovaries.

阿联酋已经表演了7年, and many studies have confirmed its utility as a primary treatment for uterine 肌瘤 in suitable patients. 长期研究目前正在进行中.