不同大小的PVA颗粒在子宫动脉栓塞术中疗效的评价  

Evaluation of the effectiveness of PVA of different sizes in uterine artery embolization

作　　者：李迪[1] 张猛[1] 高众[1] 钱永[1] 谭桂芳[1] 

机构地区：[1]辽宁省大连市中心医院,辽宁大连116033

出　　处：《世界最新医学信息文摘》2013年第1期25-26,28,共3页World Latest Medicine Information Electronic Version

摘　　要：目的评价不同大小的PVA颗粒在子宫动腑栓塞术（UAE）中的疗效。方法30例明确诊断为子宫肌瘤的患者接受UAE治疗，根据PVA颗粒大小的不同随机分为A组（300-500μm）和B组（500—700μm）。疗效的评价以近期临床疗效和栓塞后综合征（包括疼痛、发热、不规则阴道出血或分泌物增多、恶心和呕吐）的持续时间和程度为标准。结果术后6个月A组肌瘤平均缩小50％，临床症状明显改善，副作用为术后下腹部疼痛较重，B组肌瘤平均缩小42．8％，临床症状有改善，下腹部疼痛轻。结论从近期疗效来看，300．500μmPVA颗粒疗效优于500—700μmPVA，中远期疗效正在观察中。Objective To evaluate effects of uterine artery embolization （ UAE ） with polyvinyl alcohol （ PVA ） of differ- ent sizes. Methods UAE was undertaken in 30 patients diagnosed as uterine fibroids which were radomly divided into Group A （ 300-500 μ m ） and GroupB （ 500-700 μ m ）, according to the PVA particles of different sizes. Recent clinical efficacy and post embolization syndrome （ the duration and extent of pain, fever, irregular vaginal bleeding, increased secretion, nausea and vomit ） were evaluated separately by the different groups. Results After six months, group A average narrowed 50%, clinical symptoms improved significantly, side effects include heavier abdominal pain. Group B is 42.8%, clinical symptoms improved, lighter abdominal pain. Conclution From a long-term perspective effects, 300-500 μ m PVA is the best of choice. Long-term results are in the observation.

关 键 词：子宫肌瘤 栓塞 聚乙烯醇颗粒 

分 类 号：R713.4[医药卫生—妇产科学]