The relevance between the effect on dysmenorrhea and the time of surgery of artery embolization in the treatment of adenomyosis / 中华妇产科杂志

ABSTRACT

Objective To analyze the relevance between the effect on dvsmenorrbea of uterine artery embolization(UAE)in treatment of adenomyosis(AM)in difierent periods of the menstrual cycle and the time of the operation.nethods Totally 225 cases with preoperative dysmenorrhea voluntarily chose UAE in treatment of AM.They were divided into two groups according to the different times of menstrual cycle(proliferative phase or secretory phase). We analyzed the relevance between the effect of dysmenorrhea of patients in the two groups with the time of surgery after 1,2,3 and4 years.Results(1)The numbers of the cases completely foilowed up were 142,128,119 and 101 each year in the foilowing four years.(2)The effective rate on dysmenorrhcainthetwo groups ofAM patientswas 81%(43/53)and 76%(68/89)after 1 year(P>0.05).(3)The effective rate was 75%(36/48)and 70%(56/80)after 2 years(P>0.05).(4)The effective rate was 70%(32/46)and 63%(46/73)after 3 years(P>0.05).(5)The effective rate was 63%(24/38)and 63%(40/63)after 4 years(P>0.05).Conclusion UAE has a good efficacy in treatment of AM,but the relevance is not significant between the time of surgery and tlle effectiveness on dysmenorrhea.