<P class=citation sizset="156" sizcache="2">자궁동맥 색전술은 자궁동맥에 작은 알갱이를 넣어서 혈관을 막는 방법인데요..</P>
<P class=citation sizset="156" sizcache="2">인체의 회복능력은 놀라워서 시간이 지나면 (2-3 년후) 약 50% 이상에서 다시 혈관이 뚫립니다. </P>
<P class=citation sizset="156" sizcache="2">그렇기 때문에 자궁근종의 경우에도 처음에는 좀 줄어들다가 나중에 다시 커지는 경우가 사실 많습니다. </P>
<P class=citation sizset="156" sizcache="2">물론 혈관이 계속 막혀서 근종이 많이 줄어드는 경우도 많습니다. </P>
<P class=citation sizset="156" sizcache="2">이렇게 개인마다 효과가 일정치 않은 방법은 좋은 치료법이라고 보기는 힘듭니다. </P>
<P class=citation sizset="156" sizcache="2"> </P>
<P class=citation sizset="156" sizcache="2">선근종도 마찬가지입니다. </P>
<P class=citation sizset="156" sizcache="2">다음 논문은 선근종으로 인해서 출혈이 문제되는 경우에 </P>
<P class=citation sizset="156" sizcache="2">색전술을 시행하고 79 % 에서 호전이 되었지만 </P>
<P class=citation sizset="156" sizcache="2">2 년 뒤에는 45.5 % 에서 재발이 되었다는 최신 논문입니다.</P>
<P class=citation sizset="156" sizcache="2"> </P>
<P class=citation sizset="156" sizcache="2">최근 시도 되는 방법이어서 케이스는 많지 않아서 더 연구가 필요할것으로 생각이 되지만</P>
<P class=citation sizset="156" sizcache="2">이정도 결과면 미레나보다 더 좋다고 하기에는 무리가 있는 방법입니다.</P>
<P class=citation sizset="156" sizcache="2"> </P>
<P class=citation sizset="156" sizcache="2"> </P>
<P class=citation sizset="156" sizcache="2"> </P>
<P class=citation sizset="156" sizcache="2"><A title="European journal of radiology." href="xxjavascript:AL_get(this, 'jour', 'Eur J Radiol.');" _sg="true"><U><FONT color=#0000ff>Eur J Radiol.</FONT></U></A> 2009 Apr;70(1):128-32. Epub 2008 Feb 15.</P>
<H1 class=title>Uterine artery embolisation for symptomatic adenomyosis--mid-term results.</H1>
<P class=auth_list sizset="157" sizcache="2"><A href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Bratby%20MJ%22%5BAuthor%5D" _sg="true"><U><FONT color=#0000ff>Bratby MJ</FONT></U></A>, <A href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Walker%20WJ%22%5BAuthor%5D" _sg="true"><U><FONT color=#0000ff>Walker WJ</FONT></U></A>.</P>
<P class=aff>Radiology Department, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 7XX, United Kingdom.</P>
<DIV class=abstract_text>
<P>PURPOSE: To eval‎uate the role of uterine artery embolisation (UAE) in the treatment of adenomyosis. MATERIALS AND METHODS: 27 women with symptomatic adenomyosis diagnosed on magnetic resonance imaging (MRI) underwent UAE between 1998 and 2004. Clinical eval‎uation using a standardised questionnaire was made at regular intervals after embolisation to assess patient outcome. </P>
<P>RESULTS: The diagnosis of adenomyosis was confirmed histologically by transvaginal biopsy in 5 women. There were 14 women with associated uterine fibroids. Diffuse adenomyosis was identified in 18 women. A focal adenomyoma was present in another 8 women. In 1 patient adenomyosis was not classified. All patients except one underwent bilateral uterine artery embolisation. There was an initial favourable clinical response, with <FONT color=#5c7fb0><STRONG>improvement of menorrhagia in 79%</STRONG></FONT> (13/16) of patients at 12 months. Follow-up data was available on a total of 14 patients at 2 and 3 years after embolisation. <FONT color=#5c7fb0><STRONG>45.5% (5/11) reported a deterioration in menorrhagia symptoms at 2 years</STRONG>. </FONT></P>
<P>CONCLUSION: UAE for symptomatic adenomyosis is effective in the short-term but there is a high rate of recurrence of clinical symptoms 2 year following treatment.</P></DIV>
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