介入治疗在子宫肌瘤中的应用  

Application of Interventional Therpeutic by Catherization for Uterine Fibroid

作　　者：许美珍[1] 罗来树[1] 陈平[1] 魏建平[1] 

机构地区：[1]南昌大学第二附属医院介入室,江西南昌30006

出　　处：《江西医学院学报》2006年第1期75-77,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 探讨经导管超选择性子宫动脉栓塞术治疗子宫肌瘤的临床应用价值。方法 46例子宫肌瘤患者，均采用经皮股动脉穿刺双侧子宫动脉插管，超选至双侧子宫动脉远端，用聚乙烯醇微粒（PVA）（500-710μm）26例，海藻酸钠微球血管栓塞剂（KMG）（500～700μm）20例栓塞治疗。结果 所有病例经3～6个月的随访，临床症状都有明显改善，复查B超，瘤体均有不同程度的缩小，缩小率为33％～80％，平均65％。结论 子宫动脉栓塞术治疗子宫肌瘤对控制症状，缩小肌瘤体积有显著作用，是一种安全、有效的微创治疗方法。Objective To investigate the clinical effects of super-selective uterine arterial embolization on fibroid. Methods Twenty-three patients with uterine fibroid were treated by embolization, with a single catheter using the single-femoral artery approach to bilateral uterine artery, followed by Injection of PVA 500-710μm and silk particles in 26 cases and KMG 500-700μm in 20 cases. Results All cases were followed up for 3 to 6 months after treatment. The symptoms were noticeable improved, recheck US,the tumors volume all decreased to different extent. The tumors were marked diminution in size（33%-80%） with average of 65%. Conclusion Uterine arterial embolization for the treatment of uterine fibroids is an easy operation with minor side effect and few complications. It is a safe and effective procedure for fibroid in controling the symptoms and shrinking the tumor.

关 键 词：子宫肌瘤 动脉栓塞 介入治疗 

分 类 号：R737.33[医药卫生—肿瘤]