经导管子宫动脉栓塞术治疗妇产科疾病  

Transcatheter uterine artery embolization in the treatment of gynecological and obstetrical diseases

作　　者：王巧兮[1] 胡宏耀[1] 饶珉[1] 甘万崇[1] 唐兴桥[1] 

机构地区：[1]武汉大学人民医院放射科,湖北武汉430060

出　　处：《中国介入影像与治疗学》2009年第5期439-441,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察经导管子宫动脉栓塞术(TAUE)治疗妇产科疾病的价值。方法对154例妇产科疾病患者,选择不同的栓塞剂行TAUE治疗。结果154例子宫动脉插管栓塞均成功,其中78例子宫肌瘤患者1年随访临床症状基本消失,肌瘤平均缩小59%;11例子宫腺肌症患者TAUE术后1年后子宫体积缩小40%;1例再生障碍性贫血患者TAUE及子宫内膜消融术后随访4年,已达闭经目的;6例宫外妊娠者TAUE后完全康复;49例出血患者TAUE均达到止血目的,术后未见复发;9例恶性肿瘤患者生存时间平均延长1～3年。结论经导管子宫动脉栓塞术治疗妇产科疾病安全、有效。Objective To assess the value of transcatheter uterine artery embolization（TAUE） in the treatment of gynecological and obstetrical diseases.Methods A total of 154 patients with gynecological and obstetrical diseases aging from 18 to 57 years old were enrolled in this study,including 78 cases of hysteromyoma,11 uterine adenomyosis,1 case of aplastic anemia,6 cases of extra-uterine pregnancy,8 cases of post-uterine curettage hemorrhage,41 cases of postnatal hemorrhoea,2 cases of acephalocystis racemosa and 7 cases of malignant tumors.TAUE was performed with Seldinger technique,and the gelfoam particles and/or polyvinyl alcohol（PVA） were used as the embolic agents.Results TAUE was performed successfully in all 154 patients.The average volume of uterus diminished by 40% and hysteromyoma by 59% one year after TAUE in patients with hysteromyoma and uterine adenomyosis,respectively.Bleeding was stopped instantly in patients with haemorrhage.No severe complication occurred in this group.Conclusion TAUE can be used as an important method for the treatment of gynecological and obstetrical diseases.

关 键 词：栓塞 子宫动脉 栓塞剂 妇产科疾病 

分 类 号：R713[医药卫生—妇产科学] R737.33[医药卫生—临床医学]