超选择经导管子宫动脉分支栓塞治疗子宫肌瘤  

作　　者：黄益[1] 武兴杰[1] 邓军[1] 庄娘妥[1] 曾文彦[1] 何力[1] 李筠[1] 杨文生[1] 

机构地区：[1]广东药学院附属第一医院,广东广州510080

出　　处：《山东医药》2005年第23期16-17,共2页Shandong Medical Journal

基　　金：广州铁路科委科研基金资助项目(2002K3047)

摘　　要：目的探讨超选择经导管子宫动脉分支栓塞治疗子宫肌瘤的临床价值。方法将65例子宫肌瘤患者分为观察组及对照组。对照组52例插管至子宫动脉主干栓塞,观察组13例使用微导管栓塞子宫动脉肌瘤供血分支。结果两组临床症状改善情况、性激素水平及子宫、肌瘤的平均体积、缩小率均无显著差异(P均<0.05);观察组不良反应发生率为0、平均住院时间6d,对照组为13.5%、11d,P均<0.05。结论超选择经导管子宫动脉分支栓塞治疗子宫肌瘤效果确切,术后并发症发生率较低。Objective： To explore the clinical value of uterine arterial branch embolization （UABE）on hysteromyoma by interventional therapy. Methods： 65 patients with hysteromyoma were randomly divided into two groups,the control group（n=52）were embolized on the main uterine arteries ,while the experimental group （n= 13）on the branch uterine arteries by mieroeatheter. Results：There were no significant difference between two groups in the improvement of clinical sympotoms,level of sexual hormone,degree of shrinkage （P〉0. 05）. The severe complications were observed in 4 cases（7. 7 % ）for menstrual disorder, 2 cases （3.8% ）for amenorrhea, 1 case （1.9 % ）for lower abdominal acute pain. 4 cases（7.7 % ）for lower ureteral obstruction in the control group, but no ease in the experimental group （P〈0. 05）. Conclusion： The effect of transeatheter UABE to treat hysteromyoma is affirmative,and occurrence rate of postoperative complications is lower.

关 键 词：子宫动脉栓塞 介入治疗 子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]