介入栓塞治疗子宫腺肌病探讨(附17例分析)  

Study on the Interventional Embolization for the Treatment of Uterine Adenomyosis(A Report of 17 Cases)

作　　者：欧阳光[1] 

机构地区：[1]湖南省永州职业技术学院医学影像系,永州425006

出　　处：《中国现代手术学杂志》2012年第1期70-72,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨血管介入栓塞治疗子宫腺肌病的方法与疗效。方法 17例经临床诊断为子宫腺肌病患者均行介入栓塞治疗,根据腹主动脉和双侧髂内动脉造影的表现,予超选择性子宫动脉栓塞。结果 17例子宫腺肌病患者均成功完成双侧子宫动脉超选择性栓塞。介入手术时长平均75(60～90)min,术中透视观察时间平均22.5(15～30)min。术后均有不同程度栓塞后综合征3～6 d。随访3个月～5年,月经量明显减少,痛经及贫血症状明显缓解,月经周期恢复正常,延长的经期明显缩短,无复发病例。结论介入栓塞治疗子宫腺肌病具有创伤小、疗效好、子宫完整保留的优势,有望成为代替子宫切除治疗子宫腺肌病的理想方法。Objective To discuss the methods and efficacy of vascular interventional embolization for the treatment of uterine adenomyosis. Method 17 patients with clinical diagnosis of adenomyosis were treated by interventional therapy. According to the abdominal aorta and bilateral internal iliac arterial angiography, superselective uterine artery embolizations were undergone. Results All of the 17 patients with uterine adenomyosis got successful bilateral uterine artery superselective embolization. The interventional operation duration was 75 （60 -90） min. The intraoperative observation period was 22.5 （15 - 30） min. All the patients occurred different degrees of embolization syndromes for 3 - 6 days. All the 17 cases were fol- lowed up for 3 months to 5 years, and were found their menstrual significantly reduced, dysmenorrhea the symptoms of anemia significantly improved, menstrual cycles returned to normal and extend period significantly reduced. No recurrence was observed. Conclusion It is expected to be the ideal method in the treatment of adenomyosis instead of hysterectomy for the advantages of mini trauma, good curative effect and integrity remain of the uterus.

关 键 词：腺肌瘤 子宫内膜异位症 放射学 介入性 栓塞 治疗性 

分 类 号：R711.71[医药卫生—妇产科学]