子宫动脉栓塞术治疗子宫腺肌病的近期疗效观察  

Uterine arterial embolization for treatment of adenomyosis:recent results

作　　者：梁鹏 刘峰[2] 孙业全[2] 董鹏[2] 曹贵文[2] 

机构地区：[1]山东省潍坊市市直机关医院放射科,山东潍坊261071 [2]潍坊医学院附属医院影像中心,山东潍坊261031

出　　处：《医学影像学杂志》2013年第9期1448-1451,共4页Journal of Medical Imaging

基　　金：山东省高等学校科技计划项目资助(编号:J10LF15)

摘　　要：目的探讨子宫动脉栓塞术治疗子宫腺肌病的近期临床效果。方法对我院18例经MRI诊断为子宫腺肌病的患者行子宫动脉栓塞术，采用Seldinger技术经股动脉穿刺，将导管选择性插入双侧子宫动脉，应用PVA（500～700gin）与碘佛醇混匀后在透视下经导管缓慢推注将子宫动脉栓塞。阻断异位内膜病灶血供，术后定期复查磁共振观察病灶体积及信号等变化。对所有患者随访至术后2月。结果治疗后11例患者痛经完全缓解消失，6例明显缓解，1例变化不明显；子宫体积由治疗前的（208．5±70．9）cm2，缩小至治疗后的（176．7±57．2）cm。（P〈0．01）。结论子宫动脉栓塞术能有效缓解子宫腺肌病患者痛经程度、缩小子宫体积，是一种安全、有效的治疗方法。Objective To explore the curative effects of uterine arterial embolization for adenomyosis. Methods There were 18 patients with adenomyosis diagnosed by MR, bilateral UAE was perfomed by Seldingers technique in these pa- tients. All these cases were followed up for 2 months after operation and the effect of UAE was obseved by MR. Results Two months after UAE, dysmenorrhe was alleviated obsviously in most of the patients （ P 〈0.01）. The uterine volume was reduced from （208.5±70.9） em3 to （176.7±57.2） cm3. Conclusion UAE is a minor trauma and effective treatment for adenomyosis.

关 键 词：子宫腺肌病 栓塞治疗 痛经 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]