彩超对子宫动脉栓塞治疗子宫肌瘤的中远期随访观察  

Color Doppler Flow Imaging Middle and Long Follow-up of Hysteromyoma Treatment with Uterine Arterial Embolization

作　　者：李蕾[1] 蔡国华[1] 耿丽娜[1] 李小晶[1] 孙有刚[1] 

机构地区：[1]武汉科技大学附属医院超声影像科,武汉市430064

出　　处：《中国超声医学杂志》2009年第4期414-416,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的通过彩超的随访观察,探讨子宫动脉栓塞治疗子宫肌瘤中远期的临床疗效。方法使用经腹彩超对445例行子宫动脉栓塞治疗子宫肌瘤患者进行术前及术后随访。结果子宫体积及肌瘤体积在治疗前后两者间差异有显著性意义（P〈0.05）。肌瘤内部回声出现术后由高到低的演变,部分肌瘤周边可见高回声环。肌瘤血流显著减少甚至消失。随访445例患者,治愈者占12.81%,显效者占69.89%,有效者占12.13%,无效者占5.17%,随访6～48个月未发现术后再发肌瘤。结论通过彩超的中远期随访观察,说明子宫动脉栓塞治疗子宫肌瘤的方法疗效肯定。但不同类型子宫肌瘤栓塞效果有差异,对黏膜下肌瘤可达到治愈效果。Objective To study the clinical effectiveness of uterine artery embolization（UAE）in the middle and long treatment of hysteromyomas by color Doppler flow imaging. Methods A total of 445 patients with the hysteromyomas were treated with selective uterine arterial embolization and followed up for 6-48 months by CDFI. Results Clinical effectiveness of uterine artery embolization in the treatment of hysteromyomas was obtained in all patients（P〈 0.05）. The internal echotextures of hysteromyoma changed from hyperecho to homogeneous, the ring strong echo could he seen around the hysteromyoma. The blood perfusion of the hysteromyoma reduced significantly after UAE. In the 445 cases who were followed up for 6 months, complete disappearance of the fibroids was noted in 57 cases（12.81%）, remarkable reduction volume of the fibroids was seen in 311 （69.89% ）, moderate reduction in 54 （12.13% ）, and no definite change in 23 （5.17%）.No recurrent fibroids were noted during the follow-up periods for 6-48 months. Conclusions UAE is a safe and effective treatment of uterine hysteromyoma by CDFI middle and long follow-up. This methods are more appropriate for treating submucosal fibroids.

关 键 词：子宫肌瘤 动脉栓塞术 彩色多普勒 随访观察 

分 类 号：R737.33[医药卫生—肿瘤] R714.246[医药卫生—临床医学]