Miomas uterinos: o uso de embolização uterina como tratamento e seus desfechos clínicos: uma série de casos

• Autor(a) principal: Sachetim, Bruno Pomin Barros
• Data de Publicação: 2021
• Outros Autores: Bubniak, Kaline Lais, Bernardi, Thaís Merolli, Kessler, Victor Carvalho
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3680
• topic: Miomas Uterinos; Embolização Uterina; Histerectomia; CNPQ::CIENCIAS DA SAUDE::MEDICINA

To identify the clinical outcomes and surgical success after the uterine artery embolization for treatment of uterine leiomyomas, as well as evaluate the epidemiological features of the considered population such as the presence of risk factors for the disorder development and the incidence of fibroid locations. Retrospective cohort study over the collection of patient records from a random sample of 164 patients who had previous and next procedure records between 2000 and 2020. The average age was 40 (20-55) years old, 83,5% showed intramural fibroids, 53% subserosal fibroids and 32,3% submucosal fibroids, considering that 63,4% showed more than one type of fibroid. 61,6% were nulliparous, 11,7% were smokers, 3,1% had hypothyroidism and diabetes, 0,8% made use of contraceptive with progesterone and 3,2% presented family history of the disease. The prevailing symptoms reported by 76,2% of the patients before the procedure was abnormal bleeding. All the symptoms evaluated in this study were significantly reduced compared to the last evaluation, considering that 145 patients achieved the complete resolution of the symptoms. The procedure had surgical success in all collected cases and significantly reduced the uterine volume evaluated in follow-up appointments with satisfactory improvement of symptoms in the vast majority of patients, which also presented risk factors in agreement with the literature.