子宫动脉栓塞术治疗子宫肌瘤(附10例报告)  

Uterine arterial embolization on treat uterine fibroids——10cases reports

作　　者：杨大同[1] 王仲朴[2] 田申[2] 孙春玲[1] 张志敏[1] 

机构地区：[1]北京市海淀医院妇产科,100080 [2]北京市海淀医院放射科,100080

出　　处：《中国妇产科临床杂志》2000年第4期203-204,216,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的 评价子宫动脉栓塞(UAE)治疗子宫平滑肌瘤的疗效。方法 10例患者主要症状包括月经过多,尿频,盆腔疼痛等。子宫平滑肌瘤的诊断经影像学检查和专科医师检查确定,并排除与症状有关的其他妇科疾病。10例患者双侧子宫动脉栓塞9例,单侧者1例。栓塞剂为PVA微球。 结果 栓塞技术成功率为95％,无严重并发症。随访9例,术后症状均明显改善,术后4个月肿瘤体积平均缩小47％,1例术后肿瘤体积无明显变化,与仅行单侧栓塞有关。结论 UAE是一治疗子宫肌瘤的安全疗法,近期疗效好,远期疗效尚待观察。Objective To evaluate the effectiveness of uterine arterial embolization (UAE) in the management of uterine fibroids (UF) . Methods Ten patients (aged 35 - 48years; mean 37 years) with menorrhagia, frequency of urination, pelvic pain and for pelvic compression related to UF underwent UAE. The UF was diagnosed by radiological imaging and gynecological examination. UAE was done in all the patients, including bilateral uterine arterial embolization in 9 patients and unilateral embolization in 1 patient. The embolic materials used was polyvinyl alcohol (PVA) particles. Results 9 patients had successful embolization. No serious complications occurred. Follow - up was available in 9 patients. All patients were symptomatic relief. The volume of dominant UF showed a mean 47 % reduction sonographically four months after the treatment. One patient (the only one undergoing unilateral UAE) exhibited no reduction of the UF after the treatment. Conclusions UAE is a safe and effective method for the management of UF. Longer follow- up is needed to evaluate the long term effects.

关 键 词：子宫肌瘤 栓塞 治疗性 放射学 介入 

分 类 号：R737.33[医药卫生—肿瘤]