Uterine artery embolization combined with percutaneous microwave ablation for the treatment of prolapsed uterine submucosal leiomyoma:A case report  

作　　者：Hui-Li Zhang Song-Yuan Yu Chuan-Wu Cao Jing-E Zhu Jia-Xin Li Li-Ping Sun Hui-Xiong Xu 

机构地区：[1]Department of Medical Ultrasound,Center of Minimally Invasive Treatment for Tumor,Shanghai Tenth People’s Hospital,Shanghai 200072,China [2]Department of Interventional and Vascular Surgery,Shanghai Tenth People’s Hospital,Shanghai 200072,China [3]Department of Ultrasound,Zhongshan Hospital,Shanghai 200032,China

出　　处：《World Journal of Clinical Cases》2023年第13期3052-3061,共10页世界临床病例杂志

基　　金：Supported by Science and Technology Commission of Shanghai Municipality,China,No.19DZ2251100;Shanghai Municipal Health Commission,China,No.SHSLCZDZK 03502;National Natural Science Foundation of China,No.81725008.

摘　　要：BACKGROUND Vaginal myomectomy is the most common form of radical treatment for prolapsed submucosal leiomyoma and is typically performed under general anesthesia.However,an alternative treatment approach is needed for patients who cannot tolerate general anesthesia.We describe a case with such a patient who was successfully treated via a minimally invasive method under local anesthesia.CASE SUMMARY A 46-year-old female suffered from abnormal uterine bleeding,severe anemia,and a reduced quality of life attributed to a massive prolapsed submucosal leiomyoma.She could not tolerate general anesthesia due to a congenital thoracic malformation and cardiopulmonary insufficiency.A new individualized combined treatment,consisting uterine artery embolization(UAE),percutaneous microwave ablation(PMWA)of the pedicle and the endometrium,and transvaginal removal of the leiomyoma by twisting,was performed.The lesion was completely removed successfully under local anesthesia without any major complications.The postoperative follow-up showed complete symptom relief and a significant improvement in the quality of life.CONCLUSION UAE combined with PMWA can be performed under local anesthesia and is a promising alternative treatment for patients who cannot tolerate general anesthesia.

关 键 词：Submucous leiomyoma Percutaneous microwave ablation Uterine artery embolism Transvaginal myomectomy Case report 

分 类 号：R737.33[医药卫生—肿瘤]