子宫动脉栓塞治疗子宫肌瘤的超声影像学研究  

Ultrasound analysis on the effect of uterine arterial embolization on hysteromyoma

作　　者：郭云怀[1] 王金霞[1] 霍华[1] 马力[1] 朱文敏[1] 

机构地区：[1]广东省第二人民医院超声科,广州510317

出　　处：《中国妇幼保健》2009年第21期3016-3018,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨超声影像检查在子宫动脉栓塞(UAE)治疗子宫肌瘤疗效观察中的价值。方法:对78例经子宫动脉栓塞治疗的子宫肌瘤患者进行术前及术后超声检查。结果:①UAE术后,肌瘤平均体积明显缩小,血流信号消失。3年后,肌瘤平均体积缩小71.0%;②2例(2.5%)肌瘤在长期随访中可见血流的再通;③聚乙烯醇(PVA)颗粒和海藻酸钠微球(KMG)的栓塞效果无明显差异。结论UAE治疗子宫肌瘤具有较好的疗效,超声影像检查是评价UAE效果及术后长期随访的有效方法。Objective： To explore the clinical value of ultrasound in assessing the therapeutic effect of uterine arterial embolization （UAE） in hysteromyoma. Methods： 78 patients with hysteromyoma were examined by ultrasound before and after UAE. Results： （1）After UAE, the mean volume of tiysteromyoma decreased significantly, and the blood perfusion disappeared. Follow - up ultrasonic examination showed an average reduction of 71% in dominant hysteromyoma volume after 3 years. （2）Blood reappearance was found in 2 patients （2. 5% ） . （3）There was no significant difference in the effect between polyvinyl alcohol （PVA） and sodium alginate （KMG） . Conclusion： UAE is an efficient therapy of hysteromyoma, and color Doppler ultrasound is a very useful tool to assess the therapeutic effect of UAE in hysteromyoma.

关 键 词：子宫动脉栓塞 子宫肌瘤 超声 

分 类 号：R711.74[医药卫生—妇产科学] R730.41[医药卫生—临床医学]