地榆粉介入治疗子宫肌瘤的临床分析  

Clinical Analysis on Intercurrent Treatment in Hysteromyoma by Sanguisorba Officinalisl

作　　者：张鹏天[1] 刘雨峰[2] 王麦绒 张兆国[1] 岳黎明[1] 畅辉[1] 程天立[1] 李长泓[1] 

机构地区：[1]陕西中医学院附属医院放射科,陕西咸阳712083 [2]陕西省第二人民医院 [3]陕西省咸阳市秦都区平陵医院

出　　处：《实用放射学杂志》2009年第3期401-404,共4页Journal of Practical Radiology

基　　金：基金项目：陕西省科技计划基金资助项目[编号：2007K15-02（5）];咸阳市科技研究发展计划项目[编号：XK08161（4）].

摘　　要：目的评价中药地榆粉栓塞治疗子宫肌瘤的临床疗效。方法对46例子宫肌瘤患者行超选择性子宫动脉插管造影和地榆粉栓塞治疗,观察栓塞治疗效果及术后3～24个月随访患者症状改变情况。结果子宫动脉造影显示子宫肌瘤主要以一侧动脉供血,约占80.43%,两侧动脉同时供血者占15.22%,卵巢动脉参与供血者为4.35%。随访患者中,治愈者占10.87%,显效者占67.39%,有效者占17.4%,无效者占4.34%。随访6～12个月,肿瘤平均体积缩小69.05%。结论地榆粉子宫动脉栓塞治疗子宫肌瘤是一种创伤小、痛苦少的行之有效之法。Objective To evaluate the curative effects of uterine arterial embolization by using Sanguisorba officinalisl for the treatment of hysteromyomas. Methods Fourty-six patients with hysteromyomas were treated with ultra-selective uterine arterial embolization with Sanguisorba officinalisl. All cases were followed-up for 3-24 months and the clinical effects were evaluated. Resuits DSA showed that the blood supply to the hysteromyorna was from unilateral uterine artery（80.43 %） , bilateral uterine artery （15.22 %） and ovarian artery （4.35 %）. In all the cases followed-up, complete disappearances of the hysteromyomas were noted in 5 cases （10.87%）, there were remarkable reduction in volume of the myomas in 31（67.39%）, moderate reduction in 8（17.4%）, and no definite change in 2（4.34% ）. And no recurrent myomas were noted during the followed-up periods for 6-12 months. Conelusion Uterine artery embolization by using Sanguisorba officinalisl for the treatment of hysteromyoma is effective,reliable and safe methods.

关 键 词：地榆粉 栓塞治疗 子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤] R815[医药卫生—临床医学]