子宫动脉栓塞术治疗子宫腺肌症的临床疗效  

Clinical efficacy of uterine artery embolization for adenomyosis

作　　者：杨树环[1] 王志毅[1] 姚红[1] 谭建媛[1] 徐琴[1] 周勇[1] 

机构地区：[1]宜宾市第一人民医院妇科,四川宜宾644000

出　　处：《四川医学》2013年第1期57-58,共2页Sichuan Medical Journal

摘　　要：目的探讨子宫腺肌症行子宫动脉栓塞治疗的疗效。方法通过对45例子宫腺肌症患者行子宫动脉介入栓塞术,观察疼痛缓解程度和月经量及子宫大小变化。结果治疗45例患者,44例成功栓塞子宫动脉,1例因术中剧烈疼痛仅栓塞了一侧子宫动脉。术后随访3～12个月,30例(66.7%)术后6个月症状完全缓解,15例(33.3%)术后5个月症状明显缓解,其中5例患者术后6个月开始痛经,但疼痛程度均低于术前。1例(仅栓塞一侧子宫动脉者)在术后6个月妊娠后自行终止妊娠。40例患者术后月经量比术前减少15%～40%,月经周期及经期无明显变化。子宫体积缩小到术前20%～30%,子宫腺肌瘤比术前缩小35%。结论子宫动脉栓塞治疗宫腺肌症能保留子宫,缓解痛经,减少月经量,创伤小,恢复快。该方法效果明显,广为患者接受。Objective To investigate the clinical efficacy of uterine artery embolization for adenomyosis. Methods 45 cases of adenomyosis patients with uterine arteries embolization, observing uterine size and degree of symptom relief. Results 44 cases of uterine artery embolization successfully, due to severe pain 1 case, only side of uterine arterial embolization. Postopera- tived follow-up 3 to 12 months, 30 eases （66. 7% ） complete remission of symptoms, 15 cases （33. 3% ） apparent ease. Conclu- sion Uterine artery embolization in the treatment of uterine adenomyosis is retain the uterus to alleviate dysmenorrhea, reducing the amount of menstrual, trauma in small, fast recovery. The effect is clear, and patients with widely accepted.

关 键 词：子宫腺肌症 子宫动脉栓塞 疗效 

分 类 号：R711.71[医药卫生—妇产科学]