曲马多在子宫肌瘤介入术后的镇痛效果观察  

作　　者：项廷淼[1] 殷世武[1] 张惠林[1] 潘升权[1] 

机构地区：[1]安徽省合肥市安徽医科大学附属合肥医院广德路院区介入血管科,安徽230012

出　　处：《当代医学》2014年第13期134-135,共2页Contemporary Medicine

摘　　要：目的：探讨曲马多用于子宫动脉栓塞术后的镇痛的安全性及有效性。方法选取2011年1月～2013年6月安徽医科大学附属合肥医院收治的子宫肌瘤患者30例，经超选择子宫动脉插管后，注入聚乙烯醇颗粒（PVA）进行栓塞治疗。30例患者均具有完整的临床治疗过程及随访资料。结果30例患者均一次性行子宫动脉栓塞术成功，所有病例术后均未出现栓塞相关严重并发症。其中3例患者疼痛剧烈，发生率为10%，持续曲马多泵入12 h，30例患者疼痛基本缓解。结论子宫动脉栓塞治疗子宫肌瘤时使用曲马多镇痛泵可以减轻栓塞时的疼痛症状，是一种操作简单、效果好的方法。Objective To investigate the safety and efficacy of tramadol on uterine artery embolization. Methods A retrospective analysis from Jan 2011 to Jun 2013,we surgery 30 Patients,the selective catheterization in uternical artery was performed at the feeding artery of uterine fibroids,then the PVA was given to treat 30 patients with uterine fibroids. 30 cases with complete clinical treatment and follow-up data. Results 30 cases were embolized one time.Serious complications were not occurred in all patients.3 patients,severe pain,the rate was 10%,but after 12 h,the pain of 30 patients were almost relieved. Conclusion Uterine artery embolization for treatment of uterine fibroids using tramadol analgesia is a simple,less painful and effective method.

关 键 词：子宫肌瘤 曲马多 介入 术后 

分 类 号：R737.33[医药卫生—肿瘤]