选择性子宫动脉栓塞治疗症状性子宫肌瘤的疗效分析  

Selective uterine artery embolization for treatment of symptomatic uterine fibroids

作　　者：张爱武[1] 吕维富[1] 张行明[1] 张正峰[1] 肖景坤[1] 鲁东[1] 

机构地区：[1]安徽医科大学附属省立医院介入科,安徽合肥230001

出　　处：《皖南医学院学报》2009年第2期103-105,共3页Journal of Wannan Medical College

基　　金：安徽省教育厅自然科学研究计划重点项目(KJ2008A33ZC)

摘　　要：目的:探讨子宫动脉栓塞治疗子宫肌瘤的临床疗效和副反应。方法:对48例症状性子宫肌瘤患者进行选择性子宫动脉栓塞治疗,随访12～18月,观察术后症状(月经量,月经期,血红蛋白)缓解情况、子宫及瘤体缩小程度和副反应。结果:显效28例(58.3%),有效14例(29.2%),无效6例(12.5%)。子宫平均缩小率为(40.8±15.6)%,肌瘤平均缩小率为(58.9±16.8)%。所有患者月经恢复正常,月经量减少及月经期缩短,血红蛋白升至正常范围,术后无严重并发症发生。结论:选择子宫动脉栓塞术治疗子宫肌瘤安全、有效、创伤小,值得推广应用。Objective： To evaluate the effects and complications of selective uterine arterial embolization （UAE） in treatment 6f symptomatic uterine fibroids. Methods： Forty-eight patients with symptomatic uterine fibroids underwent UAE and were observed concerning the improvement of symptoms （including menstrual blood volume, change of the menstrual duration and hemoglobin concentration ）, the tumor size reduction and complications during the follow-up of 12 to 18 months. Results： Twenty-eight cases （58.3%） were found excellently effective and 14 （29.2%） effective, but 6 （12.5 % ）ineffective. The size of the uterine was reduced with an average of （40.8 ±15.6）% and （58.9 ± 16.8）% for the tumor. All patients recovered to regular and natural menstrual blood volume and typical duration as well as normal level of hemoglobin, with no occurrence of serious complications. Conclusion： Uterine artery embolization is recommended for its safety and minimal invasion in treating symptomatic uterine fibroids.

关 键 词：子宫肌瘤 子宫动脉栓塞术 血管造影 

分 类 号：R737.33[医药卫生—肿瘤]