子宫动脉栓塞术治疗子宫肌瘤临床疗效观察  

The obvservation of clinical effect of uterine arterial embolization in treating hysteromyoma

作　　者：应德美 李幼飞[1] 杨鹰[1] 

机构地区：[1]第三军医大学附属新桥医院妇产科,重庆400037

出　　处：《西部医学》2014年第5期626-628,共3页Medical Journal of West China

摘　　要：目的探讨子宫动脉栓塞术治疗子宫肌瘤的临床疗效。方法选择50例子宫肌瘤患者,采用Seldinger技术,行双侧子宫动脉栓塞治疗,术后分别于1、3、6、12、24个月观察瘤体缩小情况及临床症状改善情况。结果栓塞后6个月和2年子宫体积缩小分别为58.4%和70.3%,肌瘤体积缩小分别为54.5%和77.3%。月经周期无改变,经期显著缩短,月经量减少至术前的44.9%,贫血状况及痛经、压迫症状改善。所有病例无严重并发症。结论子宫动脉栓塞术治疗子宫肌瘤安全、有效,可明显改善患者的贫血,减少月经量,缩小瘤体,保全子宫,提高患者生活质量。Objective To evaluate the therapeutic effect of uterine arterial embolization （UAE） on the treating of hysteromyoma.Methods The effects of UAE treatment on 50 patients with hysteromyoma were evaluated.All the patients were followed up to observe the changes of clinical symptoms,uterus and myomata size at 1,3,6,12 and 24 months after UAE operation.Results The size of uterus and myomata were reduced by 54.8％ and 70.3％ respectively 6 months after UAE,and 54.5％,77.3％ respectively 2 years after UAE.The catamenia time was shortened and menstrual blood volume was reduced by 44.9 ％,while time of menstrual cycle remained unchanged.There was also an obvious relief of anaemia and compression.No severe complications appeared.Conclusion UAE is effective and safe in uterinemyoma therapy.It made a significant relief on clinical symptoms such as anemia,menorrhagia and reduced the size of uterus and myomata.

关 键 词：子宫肌瘤 子宫动脉栓塞 介入治疗 疗效 

分 类 号：R711.74[医药卫生—妇产科学]