不同栓塞剂、不同栓塞水平经导管子宫动脉栓塞术后对血清性激素的影响  

Different embolization agents and position: impact on the level of serum steroid hormones

作　　者：焦旭东[1] 陈方满[2] 吴金平[1] 汪和平[2] 严晓星[2] 

机构地区：[1]江苏省常州市第三人民医院放射科,213001 [2]皖南医学院附属医院

出　　处：《中国妇幼保健》2008年第21期3032-3034,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨不同栓塞剂、不同栓塞水平在经导管子宫动脉栓塞术后对女性卵巢功能的影响。方法:对21例行子宫动脉栓塞术患者测定术前及术后3个月的血清雌激素(E2)、促卵泡成熟素(FSH)、黄体生成素(LH)水平。其中行子宫动脉栓塞术(UAE)18例,髂内动脉栓塞术(IIAE)3例;栓塞剂采用明胶海绵颗粒(GF)14例,PVA颗粒4例,超液态碘化油(lipodol)3例。结果:不同栓塞水平之间术后3个月血清三种性激素无明显差别,同一种栓塞水平于手术前后三种性激素无明显差别;不同栓塞剂之间术后3个月血清三种性激素无明显差别,同一种栓塞剂手术前后三种性激素无明显差别。结论:栓塞部位在高位的髂内动脉或是低位的子宫动脉,选用颗粒较粗的GF颗粒还是更加细小的PVA颗粒,对卵巢分泌功能影响小,不会对血清性激素产生不良影响。Objective： To investigate the impact on the ovarian function ~ter transcatheter arterial embolization （TAE） with different agents and position in uterine artery. Methods： Serum sex hormones of 21 cases performed TAE were measured in pre - operative and postoperative 3 months respectively. Among them, UAE were 18 cases and IIAE 3 cases; embolization agent were GF in 14 cases, PVA 4 cases, lipiodol 3 cases, respectively. Results： There was no significant difference in serum sex hormones between UAE and IIAE （ P 〉0. 05 ）, no significant difference between embolization agents, and no significant between preoperative and postoperative cases. Conclusion： No matter the level of embolization, or the embolization agents, TAIE for uterine has minimal impact on ovarian function, and most patients have on change in serum levels of sex hromones.

关 键 词：经导管动脉栓塞术 栓塞剂 栓塞部位 子宫 卵巢 性激素 

分 类 号：R711[医药卫生—妇产科学]