子宫动脉栓塞治疗子宫肌瘤疗效评价  

Uterine Artery Embolization for Treatment of Uterine Fibroids

作　　者：梅列军[1] 刘骏方[1] 胡金香[1] 乐涛[1] 

机构地区：[1]武汉大学中南医院放射科,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2007年第6期810-812,共3页Medical Journal of Wuhan University

摘　　要：目的:评价子宫动脉栓塞(UAE)治疗症状性子宫肌瘤(UF)的临床疗效和副反应。方法:对40例症状性子宫肌瘤患者进行超选择性双侧子宫动脉用PVA微粒栓塞,随访12-24个月,复查观察术后症状缓解情况和子宫肌瘤缩小程度。结果:除2例仅完成单侧操作外,其余均治疗成功,完整随访复查术后瘤块缩小30%-70%。所有病例,月经恢复正常,贫血病例,血红蛋白升至正常范围。副反应主要为术后下腹部疼痛(12/40),无严重并发症发生。结论:选择性子宫动脉栓塞为非手术治疗症状性子宫肌瘤的较好疗法。Objective： To evaluate the effect and side effects of uterine arterial embolization（UAE） as a treatment of symptomatic uterine fibroids （UF）. Methods： A total of 27 cases with clinic symptoms caused by uterine fibroids underwent UAE. The embolization of bilateral uterine arteries was performed with a single catheter via femoral artery approach with an injection of PVA （355- 500 μm）. The improvement of symptoms and tumors size changes were followed up in 12-24 months after the procedure. Results： All but two cases were successfully treated bilaterally, tumor size was decreased by 30%-70%, and menses returned to regular in all patients. In cases with anemia, the hemoglobin concentration increased to normal level. The main side effects were hypogastic pain （12/40）. No serious complications occurred. Conclusion： Uterine arterial embolization is a good non-surgical therapy for symptomatic uterine fibroids with mild side effects.

关 键 词：放射学 介入 子宫肌瘤 栓塞 治疗性 

分 类 号：R816.91[医药卫生—放射医学] R815[医药卫生—临床医学]