子宫动脉栓塞治疗弥漫型子宫腺肌症的中、远期随访分析  

Uterine artery embolization for the treatment of diffuse adenomyosis: long-term follow-up analysis

作　　者：姚群立[1] 陆建东[1] 徐向荣[1] 柳玉华[1] 郑宇平[1] 温玲[2] 郁金芬[2] 

机构地区：[1]江苏省张家港市中医医院(南京中医药大学附属张家港医院)放射科 [2]江苏省张家港市中医医院(南京中医药大学附属张家港医院)妇产科

出　　处：《介入放射学杂志》2013年第11期896-899,共4页Journal of Interventional Radiology

摘　　要：目的评价子宫动脉栓塞治疗弥漫型子宫腺肌症患者的中、远期临床疗效。方法对19例弥漫型子宫腺肌症患者行子宫动脉栓塞治疗,并于术后6、12、18、24、36个月进行随访,分析MRI检查结果、痛经程度以及贫血纠正情况。结果 19例患者的贫血症状在3个月左右得到纠正;MRI显示子宫体积在12个月内缩小明显,平均缩小51.97%;痛经程度缓解,以24个月内明显,之后7例患者痛经症状有复发趋势,但比术前仍有明显缓解,其中4例患者MRI显示有新发小病灶。结论对于弥漫型子宫腺肌症患者,子宫动脉栓塞治疗能明显缓解患者症状并取得良好的临床疗效,但部分患者24个月以后临床痛经症状可因新发小病灶而复发。Objective To evaluate the long- term clinical efficacy of uterine artery embolization （UAE） in treating diffuse adenomyosis. Methods During the period from 2007 to 2012, UAE was carried out in 19 female patients with MRI- proved symptomatic diffuse adenomyosis. Follow- up examination was conducted at 6, 12, 18, 24 and 36 months after the treatment. MRI findings, the degree of dysmenorrhea and the improvement of anemia were analyzed. Results Anemic condition was corrected in about three months after the treatment in all 19 patients. MRI showed that uterine volume decreased significantly within 12 months, with a mean reduction of 51.97%. The degree of dysmenorrhea was relieved, which was more obvious within 24 months, although a tendency to recur was seen in 7 patients after 24 months. MRI demonstrated newly-developed small lesions in 4 of the seven cases. Conclusion For diffuse adenomyosis, UAE can significantly relieve patient＇s symptoms with excellent clinical results, although in some patients the clinical symptoms of dysmenorrhea may recur after two years due to the newly- developed small lesions in some patients.

关 键 词：子宫腺肌症 动脉栓塞 磁共振 

分 类 号：R711.71[医药卫生—妇产科学]