子宫动脉栓塞联合经皮乙酸注射治疗子宫肌瘤的临床研究  

Transcatheter Uterine Arterial Embolization Combined with Percutaneous Acetic Acid Injection for Uterine Myoma

作　　者：张一平 王国庆 王宇宁 赵景志 

机构地区：[1]解放军郑州第153中心医院放射科,450042

出　　处：《现代医用影像学》2005年第2期77-78,共2页Modern Medical Imageology

摘　　要：目的:探讨子宫动脉栓塞(UAE)联合经皮乙酸注射(PAI)治疗子宫肌瘤的临床价值。材料与方法:64例,年龄19岁～47岁,肌瘤直径5cm～14cm,其中肌壁间肌瘤50例,黏膜下肌瘤14例,全部行经皮穿刺插管双侧子宫动脉碘化油和明胶海绵颗粒栓塞,栓塞后3个月彩色多普勒观察肌瘤内血流信号,有血流信号的13例采用超声引导经皮穿刺乙酸注射。结果:插管栓塞成功率100%,87.5%(56/64)的患者临床症状减轻,68.75%(44/64)的患者月经基本恢复正常,82.81%(53/64)的患者下腹疼痛消失。栓塞3个月后肌瘤平均缩小56%。乙酸注射后肌瘤内血流信号消失。结论:单纯子宫动脉栓塞可能出现肌瘤复发,子宫动脉栓塞联合经皮乙酸注射是治疗子宫肌瘤的安全有效方法。Purpose:To evaluate the therapeutic efficacy of transcatheter uterine arterial embolization combined with percutaneous acetic acid injection for uterine myoma.Materials and Methods:63 patients received transcatheter uterine arterial embolization (UAE).Iodized oil and Gelfoam particles were used to embolize the arteries.13 myoma.of 64 patients which had dot or short-bar flow signal at 3 months after UAE received Ultrasound-directed percutaneous acetic acid injection (PAI).Results:The clinical symptom released in 87.50%(56/64),that was controlled of menorrhagia in 68.75%(44/64),disappeared of lower abdominal pain in 82.81%(53/64),The mean reduction of myoma at 3 months was 56%.After PAI,disappeared of flow signal in uterine myoma.Conclusion:The treatment of UAE alone could result in recurrent.UAE combined wiht PAI was an effective and satisfactory method for the treatment of uterine myoma.

关 键 词：子宫动脉栓塞 经皮乙酸注射 治疗 子宫肌瘤 临床研究 

分 类 号：R737.33[医药卫生—肿瘤]