子宫动脉栓塞治疗子宫肌瘤临床疗效评价  

Clinical estimate of uterine artery embolization for uterine fibroids

作　　者：吴连强[1] 韩玉玲 骆宾[1] 荆彦平[1] 

机构地区：[1]河南科技大学附属黄河三门峡医院影像科,472000 [2]河南科技大学附属黄河三门峡医院妇科,472000

出　　处：《实用医学影像杂志》2017年第6期469-470,共2页Journal of Practical Medical Imaging

基　　金：中国电建集团水电十一局基金项目(2016008)

摘　　要：目的探讨经导管栓塞子宫动脉(TUAE)治疗子宫肌瘤的疗效。方法对35例子宫肌瘤患者分别经导管双侧子宫动脉注入平阳霉素超液化碘油乳剂栓塞,其中20例加用明胶海绵颗粒栓塞,术后3个月、6个月随访,对患者肌瘤大小、临床表现及雌激素水平变化观察评估。结果 35例患者术中显示子宫动脉栓塞完全,术后3个月和6个月B超或CT复查,肌瘤体积分别缩小40.5%、78.3%,其中有临床症状的30例术后3~6个月临床症状均有明显改善,促卵泡成熟激素(FSH)、促黄体生成素(LH)、雌二醇(E2)手术前后无明显变化。结论TUAE疗效可靠、操作简单、手术安全性高,值得临床推广应用。Objective To explore curative effect transcatheter uterine artery embolization （TUAE） for uterine fibroids. Methods Thirty-five patients with uterine fibroids transcatheter uterine artery injection of pingyangmycin on both sides respectively super liquid iodine emulsion embolization, including 20 cases with gelatin sponge particles embolization. By postoperative 3 months, 6 months follow-up, the size of the fibroids, the patients with clinical mani-festations and the evaluation of the estrogen level changes. Results Thirty-five patients intraoperative ly were showed uterine artery embolization, 3 months and 6 months after ultrasound or CT review, fibroid volume decreased 40.5% and 78.3% respectively, 30 cases with including the clinical symptoms were improved significantly when postopera - tive 3？6 months, FSH, LH, E2 without obvious change and before operation. Conclusion TUAE has reliable effi-cacy, simple operation and high safety, and it is worthy of clinical application.

关 键 词：子宫平滑肌瘤 介入治疗 栓塞 

分 类 号：R737.33[医药卫生—肿瘤]