妇科疾病介入治疗安全性的评估  

Safety evaluation of interventional treatment in gynaecological diseases.

作　　者：刘萍[1] 陈春林[1] 梁立治[2] 马奔[1] 刘佩鸣[1] 

机构地区：[1]广州市第一人民医院妇产科妇产医学介入诊疗中心,510180 [2]中山医科大学附属肿瘤医院妇科,广州510089

出　　处：《中国实用妇科与产科杂志》2001年第10期603-605,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　评估妇科疾病行介入治疗的安全性。方法　对 3 5例妇科患者实施介入治疗 ,统计手术时间 ,观察侧支循环的建立 ,栓塞术后病理变化及监测术中患者所受X线辐射量。结果　①手术时间 :平均 ( 4 0 3±6 1)min ;②病理检查 :部分病例子宫内膜 ( 2 / 15 )、子宫浅肌层 ( 12 / 15 )出现少量的坏死 ;③患者术中所受X线辐射剂量 :骶尾部皮肤处 3 2 88cGy、卵巢 16 64cGy、肾上腺腰部皮肤投影处 12 44cGy ,均在正常安全剂量范围内 ;④侧支循环 :经卵巢DSA造影及三维彩超证实术后卵巢动脉向子宫体提供少量的血流。结论　对妇科疾病实施介入治疗是安全的。Objective To evaluate the safety of interventional treatment in gynaecological diseases.Methods Interventional radiological treatment was performed on 35 gynaecological patients.The operation time,formatiom of collateral circulation,pathological changes in myometrium after embolization and radiation dose to patients during operation were investigated.Results The operation time:the mean time was(40.3±6.1)min.Pathological examinations:a few necroses in endometrium(2/15 cases)and shallow myometrium(12/15 cases)appeared.According to the skin radiation measurements of 20 cases,the highest dose was found in sacrum projection(32.88cGy),ovary(16.64)and adenal gland(16.64cGy)came in the second and third.All the radiation doses were within the safe range in normal condition.The collateral circulation from ovarian artery to uterus was confirmed by angiography and 3-D color Doppler imaging.Conclusion The intraarterial interventional treatment is a safe method for gynaecological diseases.

关 键 词：妇科疾病 介入治疗 安全性 评估 

分 类 号：R711.05[医药卫生—妇产科学]