What are the indications for uterine fibroid embolization?

Patient's question:

I discovered uterine fibroids back in 2000 through a thorough examination, and I have been taking some tumor-dissolving medications ever since, but none of them have been successful. Recently, another thorough examination revealed that the fibroids have grown. What are the options for interventional treatment of uterine fibroids?

Doctor's answer:

The interventional treatment method for uterine fibroids refers to the procedure under DSA guidance, where the femoral artery is punctured, and the catheter is inserted into the uterine artery under the guidance of a wire. This involves drug injection and embolization to block the blood supply of the uterine fibroids, leading to devascularization, cerebral edema, and hypoxia, which in turn causes the fibroid cells to become purulent, the tumor to enlarge, and menstrual bleeding to decrease, alleviating a series of clinical symptoms. This interventional treatment is suitable for most patients with uterine fibroids, especially those who wish to preserve the uterus and fertility, as well as those who have not responded to other treatments, have complications, or are frail and cannot tolerate surgery due to other internal medical conditions. The surgical trauma is minimal, requiring only a small incision of about 0.5 cm in the groin. After the interventional procedure, the dressing is removed 24 hours later, and the patient can get out of bed and move freely.

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