超选择子宫动脉栓塞治疗子宫肌瘤的体会  

Therapy of hysteromyoma by uterine arterial embolization

作　　者：毛刚[1] 李洁萍[1] 张颖[1] 卢军平[1] 

机构地区：[1]贵州省遵义医院介入中心,贵州遵义563003

出　　处：《中国介入影像与治疗学》2007年第3期210-212,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨超选择子宫动脉栓塞治疗子宫肌瘤的效果和经验。方法186例子宫肌瘤患者,经导管超选择子宫动脉栓塞。结果371条子宫动脉行超选,8条未成功,成功率为97.9%。治疗后6个月复查:肌瘤完全消失9例;肌瘤缩小50%以上的有145例;肌瘤缩小50%以内的有29例;3例肌瘤无变化、3例出现严重并发症。结论超选择子宫动脉栓塞治疗子宫肌瘤是一种微创的、有效的方法。Objective To evaluate the clinical efficiency of uterine artery emboliztion for symptomatic uterine fibroids and introduce the experience. Methods 186 cases with symptomatic uterine fibroids were treated by Seldinger＇s selective uterine arteries embolization. Results In the 371 uterine arteries, 8 uterine arteries catheterization no reached. The successful rate of catheterization reached was 97.9%. Followed up for 6 months after treatment, the tumor had vanished in nine, 145cases had the reduction rate in leiomyoma size was more than 50% and 29 cases less than 50%, three tumours no changed. Severe complications were discovered in three cases. Conclusion Uterine artery emboliztion is a micro-traumatic, effective method for the management of symptomatic uterine fibroids.

关 键 词：子宫肌瘤 子宫动脉 栓塞 

分 类 号：R737.33[医药卫生—肿瘤]