子宫肌瘤的血管构筑学及其栓塞治疗  

Angioarchitecture and endovascular embolization of uterine fibroids

作　　者：李彩霞[1] 李春海[1] 

机构地区：[1]山东大学齐鲁医院影像中心,济南250012

出　　处：《介入放射学杂志》2005年第5期498-500,共3页Journal of Interventional Radiology

摘　　要：目的探讨子宫肌瘤的血管构筑学特点及其栓塞治疗的临床疗效。方法采用Seldinger技术,行双侧髂内子宫动脉造影,了解子宫肌瘤的血管构筑学及其血供状况,然后,超选择插入子宫肌瘤供血动脉内并行栓塞治疗。结果30例患者子宫动脉均由同侧髂内动脉发出,子宫肌瘤由双侧子宫动脉供血并均显示丰富,呈双侧优势型16例,占53%;双侧子宫动脉均参与供血,但一侧供血较对侧明显丰富,供血量超过子宫肌瘤瘤体的12,呈单侧优势型11例,占37%;仅有一侧子宫动脉参与供血,呈单侧供血型3例,占10%。栓塞术后患者原有的症状消失。3个月超声复查肌瘤平均缩小40%,6个月平均缩小55%,12个月复查肌瘤平均缩小60%。临床总有效率100%。结论了解子宫肌瘤的血管构筑学,彻底阻断肌瘤的病理血管,是保证疗效和防止复发的关键。Objective To investigate the angioarchitecture and the efficacy of endovascular embolization of uterine fibroids. Methods Bilateral internal iliac and uterine arteriography were performed to domonstrate the angioarchitecture in uterine fibroids with Seldinger technique. The feeding arteries of uterine fibroids were superselectively embolized. Results The uterine arteries of 30 patients all originated from the iliac arteries of the ipsilateral side. The feeding arteries of uterine fibroids showed bilateral dominance in 16 cases （53%）, unilateral dominance in 11 （37%） and unilateral feeding in only＇ 3（10% ）. All symptoms disappeared after embolization. The fibmids masses decreased averagely by 40% in size at 3-month with ultrasound follow-up, by 55% at 6 months and by 60% at 12 months with a total clinical efficacy of 100% . Conclusions The key to efficacy and prevention of relapse is to understand the angioarchitecture in order to occlude all the pathological vessels in uterine fibroids.

关 键 词：子宫肌瘤 血管构筑学 血管内栓塞 血管构筑学 子宫肌瘤 栓塞治疗 SELDINGER技术 子宫动脉供血 双侧子宫动脉 子宫动脉造影 临床疗效 髂内动脉 

分 类 号：R737.33[医药卫生—肿瘤]