子宫腺肌病子宫动脉栓塞术后临床观察及经腹彩色超声检查随访  

CURATIVE EFFECTS OF UTERINE ARTERIAL EMBOLIZATION ON ADENOMYOSIS AND THE FOLLOW-UP SURVEY THROUGH TRANSABDOMINAL COLOR DOPPLER EXAMINATION

作　　者：薛燕[1] 魏娜[1] 

机构地区：[1]山东医学高等专科学校附属临沂市人民医院,山东临沂276003

出　　处：《山东医学高等专科学校学报》2006年第2期105-107,共3页Journal of Shandong Medical College

摘　　要：目的探讨子宫腺肌病病人子宫动脉栓塞术（UAE）后的近期临床疗效及经腹彩色超声检查在随访中的应用价值。方法对21例经临床、彩色超声及MRI诊断为子宫腺肌病的病人运用子宫动脉栓塞术进行治疗，并对病人在介入治疗后1个月、3个月、6个月及9个月时进行临床观察和彩色超声检查随访。结果21例病人UAE术后9个月随访，痛经治疗有效率100％，显效率为80．95％。5例病人月经量在6～9个月时恢复正常，其余均较术前减少。所有病人的血红蛋白均恢复至正常范围。UAE主要副作用是下腹部不同程度疼痛、发热、膀胱刺激症状，少数病人有阴道少量流血。彩色超声检查随访可见病变子宫在UAE术后6～9个月复查时较术前平均缩小47.84％，病灶平均缩小55．99％；病人子宫动脉平均流速（Vm），阻力指数（RI），搏动指数（PI），能量图（CDE）检测，提示病变子宫及病灶血流信号减少，术前术后对照有显著差异（P〈0．01）。结论子宫腺肌病UAE术后近期疗效满意，经腹彩色超声检查是随访病人的有效手段。Objective To explore the short-term curative effects of uterine arterial embolization （UAE） on adenomyosis and the application of transabdominal color Doppler to the follow-up surveys. Methods 21 cases of adenomyosis confirmed by clinical, color Doppler and MRI examinations received UAE and follow-up surveys were conducted through color Doppler in the 1 st,3rd,6th and 9th month after the intervention. Results According to the 9 months of follow-up surveys, the total effective rate of treating menorrhagia was 100 %, and the obvious effective rate was 80.9 %. Menstruation restored to normal in 5 cases in 6-9 months. Other cases got reproved to some extent. The HB values restored to normal in all cases. The major side effects of UAE were pains of different degree in lower abdomen, fever, bladder irritation and small amount of uterine bleeding in some cases. The surveys through color Doppler showed that the lesion parts of uterus shrank by 47.84 % and the lesion shrank by 55.99% 6-9 months after the treatment. The indexes of mean velocity, resistance index, pulsatility index and color Doppler energy revealed great reduction of blood flow in the lesions and the lesion part of uterus. There existed significant difference before and after the treatments（ P 〈0.01）. Conclusion UAE can produce satisfactory short-term curative effects and transabdominal color Doppler can be effectively used in follow-up surveys.

关 键 词：彩色多普勒 子宫腺肌病 子宫动脉栓塞术 随访 

分 类 号：R445.1[医药卫生—影像医学与核医学]