子宫动脉栓塞治疗子宫腺肌症的临床分析  

Clinical analysis of Adenomyosis by Uterine Arterial Embolization

作　　者：姜星[1] 李家平[2] 许卫国[3] 李鹤平[2] 雷萍[1] 李敏[1] 

机构地区：[1]广东省珠海市妇幼保健院妇二科,广东519000 [2]广州中山大学附属第一医院介入放射科,510080 [3]广东省珠海市人民医院放射科,519000

出　　处：《当代医学》2009年第35期684-686,共3页Contemporary Medicine

摘　　要：目的探讨子宫动脉栓塞术治疗子宫腺肌病的临床疗效。方法对采用Seldinger技术,对36例确诊为子宫腺肌病的患者行双侧子宫动脉栓塞术,术后观察痛经程度、月经量、贫血、子宫及病灶体积的变化情况。结果治疗后对所有患者进行定期随访,痛经症状明显缓解33例(91.67%),消失3例(8.33%),有效率为100%;17例患者月经量较术前明显减少(17/21);所有贫血病例Hb恢复到正常值(100%);子宫体积平均缩小52.36%,病灶明显缩小或消失。结论子宫动脉栓塞术治疗子宫腺肌病近期临床疗效显著,安全性好,患者接受程度高。Object To discuss the clinical effect of uterine artery embolization in treating adenomyosis Methods Bilateral UAE was performed by Seldinger＇s technique in 36 patients with adenomysis.The menorrhalgia,catamenia,anemia,the size of uterus and lesion were observed after procedure.Result All cases were followed up after treatment,and dysmenorrheal was alleviated obsviously in 33 cases（91.67%）,completely disappeared in 3 cases（8.33%）,the effective rate was 100%;The menstrual blood volume decreased significantly in 17 cases after operation（17/21）;In all patients with anemia,Hb was returned to normal value（100%）;A mean 52.36% reduction of uterine volume were obtained,the lesions were reduced obviously or disappeared.Conclusion UAE is a safe,confirmed and satisfactory method for treatment of adenomyosis.

关 键 词：子宫腺肌病 子宫动脉栓塞 临床疗效 

分 类 号：R711.74[医药卫生—妇产科学]