Interventional Radiology Treatments to Address Chronic Pelvic Pain in Females.

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS CardioVascular and Interventional Radiology Pub Date : 2024-11-22 DOI:10.1007/s00270-024-03823-9

Victoria Risner, Estefania Gonzales, Yuko McColgan, Gloria Salazar

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Abstract

Background: Chronic pelvic pain (CPP) affects about one in four women globally and has a variety of etiologies, including gynecologic causes. Interventional radiology (IR) offers minimally invasive treatment options for several of these etiologies.

Purpose: This review provides an overview of IR interventions for treating gynecologic causes of CPP, including fibroids, adenomyosis, pelvic venous disease (PeVD), endometriosis, and peritoneal inclusion cysts (PICs).

Methods: A narrative review was conducted on IR techniques for managing gynecologic causes of CPP, with emphasis on procedural applications, clinical presentation, and diagnostic approaches.

Results: Uterine artery embolization (UAE) has shown effectiveness in treating fibroids and is increasingly applied for adenomyosis, while gonadal vein embolization is effective for managing PeVD. Emerging IR techniques show promise for treating endometriosis and PICs. This review discusses patient presentation, diagnostic evaluation, and procedural details unique to each condition.

Conclusion: As IR options for CPP expand, a comprehensive understanding of the clinical and procedural nuances can broaden the scope of effective treatment options.

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解决女性慢性盆腔疼痛的介入放射学疗法。

背景：慢性盆腔痛（CPP）影响着全球约四分之一的女性，其病因多种多样，其中包括妇科病因。目的：本综述概述了介入放射学治疗妇科原因引起的慢性盆腔炎的方法，包括子宫肌瘤、子宫腺肌病、盆腔静脉疾病（PeVD）、子宫内膜异位症和腹膜包涵囊肿（PIC）：方法：对用于治疗CPP妇科病因的IR技术进行叙述性综述，重点是程序应用、临床表现和诊断方法：结果：子宫动脉栓塞术（UAE）已显示出治疗子宫肌瘤的有效性，并越来越多地应用于子宫腺肌症的治疗，而性腺静脉栓塞术则能有效治疗PeVD。新兴的IR技术在治疗子宫内膜异位症和PIC方面大有可为。这篇综述讨论了每种疾病特有的患者表现、诊断评估和手术细节：结论：随着红外治疗 CPP 的选择范围不断扩大，全面了解临床和手术的细微差别可以扩大有效治疗选择的范围。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

CardioVascular and Interventional Radiology 医学-核医学

CiteScore

5.50

自引率

13.80%

发文量

306

审稿时长

3-8 weeks

期刊介绍： CardioVascular and Interventional Radiology (CVIR) is the official journal of the Cardiovascular and Interventional Radiological Society of Europe, and is also the official organ of a number of additional distinguished national and international interventional radiological societies. CVIR publishes double blinded peer-reviewed original research work including clinical and laboratory investigations, technical notes, case reports, works in progress, and letters to the editor, as well as review articles, pictorial essays, editorials, and special invited submissions in the field of vascular and interventional radiology. Beside the communication of the latest research results in this field, it is also the aim of CVIR to support continuous medical education. Articles that are accepted for publication are done so with the understanding that they, or their substantive contents, have not been and will not be submitted to any other publication.