Nghiên cứu một số yếu tố liên quan đến hiệu quả điều trị u xơ tử cung bằng phương pháp nút mạch tại Bệnh viện Phụ sản Hải Phòng

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Tác giả: Xuân Quảng Đoàn, Vũ Dũng Lưu, Hải Long Nguyễn, Thị Minh Phương Vũ, Văn Tâm Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 616.247 Diseases

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 132-135

Bộ sưu tập: Metadata

ID: 499067

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Chủ đề

Currently, uterine artery embolization method helps patients reduce symptoms and volume of uterine fibroids without surgery. Objective: to study some factors related to the effectiveness of uterine volume reduction after 6 months of treatment. Subjects and methods: 63 patients were examined, diagnosed and treated for uterine fibroids at Hai Phong Obstetrics and Gynecology Hospital with indications for uterine artery embolization from October 2018 to June 2020. Results: Multivariate regression analysis showed factors (age, number of pregnancies, anteroposterior diameter oF Uterine, volume of uterine fibroids, location of uterine fibroids, node size, duration of time embolization) was not associated with a reduction in uterine volume <
50% after 6 months of treatment. Fibroid tumors with high angiogenesis had a higher success rate than fibroids with little or moderate angiogenesis by 1.5 times with p<
0,05. Conclusion: Multivariable regression analysis showed that only uterine fibroid angiogenesis factor independently affected treatment outcome.Hiện nay, phương pháp nút động mạch tử cung giúp người bệnh giảm triệu chứng và thể tích khối u xơ cơ tử cung mà không cần phẫu thuật. Mục tiêu: tìm hiểu một số yếu tố liên quan đến hiệu quả giảm thể tích tử cung sau 6 tháng điều trị. Đối tượng và phương pháp nghiên cứu: 63 bệnh nhân được khám, chẩn đoán và điều trị UXCTC tại bệnh viện Phụ Sản Hải Phòng có chỉ định nút ĐMTC từ tháng 10/2018- 6/2020. Kết quả: Phân tích hồi quy đa biến cho thấy các yếu tố (tuổi, số lần mang thai, đường kính trước sau tử cung, thể tích u xơ tử cung, vị trí u xơ tử cung, kích thước hạt nút mạch, thời gian nút mạch) không liên quan đến hiệu quả giảm thể tích tử cung <
50% sau 6 tháng điều trị. Khối u xơ có tăng sinh mạch nhiều có kết quả thành công cao hơn khối u xơ có tăng sinh ít hoặc vừa 1,5 lần với p<
0,05. Kết luận: Phân tích hồi quy đa biến cho thấy chỉ có yếu tố tăng sinh mạch u xơ tử cung ảnh hưởng độc lập đến kết quả điều trị.

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