子宫动脉栓塞治疗术治疗子宫肌瘤的临床应用  

Clinical application of uterine artery embolization for treating uterine leiomyoma

作　　者：王广举[1] 刘斌[1] 

机构地区：[1]抚顺矿务局总医院影像科,辽宁抚顺113008

出　　处：《中国介入影像与治疗学》2007年第6期451-454,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨子宫动脉栓塞治疗术(UAE)治疗子宫肌瘤的临床应用。方法对46例子宫肌瘤患者进行子宫动脉栓塞治疗,观察术后反应和症状变化,术后3、6、12个月进行随访分析疗效。结果造影显示双侧子宫动脉供血17例(占37%),一侧供血为主24例(占52%),单纯一侧供血5例(占11%)。肿瘤平均缩小率:3个月34%,6个月48%,12个月56%,其中5例肌瘤消失。46例患者临床症状均有不同程度改善,无严重并发症。结论子宫动脉栓塞术治疗子宫肌瘤是一种安全有效的微创治疗方法。Objective To investigate the clinical application of uterine artery embolization on uterine leiomyoma. Methods Forty-six cases of uterine leiomyoma were treated by UAE. The post-opretive reactions and symptomatic improvement were observed in 3, 6 and 12 months. Results The angiographic featues of uterine leiomyoma were. 24 cases from both uterine arteries equally, 17 cases mainly from one uterine artery, 5 cases simply from one uterine artery. The procedure revealed average shrinkage of 34% in volume of the masses for all cases in the first 3 months, 48% in 6 months and 56% in 12 months, with 5 uterine leiomyoma disappeared. Clinical symptoms in all cases were disappeared or improved significantly, and no serious complications occurred. Conclusion UAE is a safe, effective and less invasive way to treat uterine leiomyoma.

关 键 词：平滑肌瘤 子宫动脉 栓塞 治疗性 

分 类 号：R737.33[医药卫生—肿瘤]