子宫动脉栓塞术治疗子宫腺肌病的效果观察  

Effect of Uterine Arterial Embolization in the Treatment of Adenomyosis

作　　者：朱晓玉[1] 姚丽艳[1] 张清华[1] 付晓雯 Zhu Xiaoyu;Yao Liyan;Zhang Qinghua(Department of Gynaecology and Obstetrics,Second Affiliated Hospital,Xinjiang Medical University,Xinjiang 830028,China)

机构地区：[1]新疆医科大学第二附属医院,乌鲁木齐830063

出　　处：《医学研究杂志》2019年第2期92-94,110,共4页Journal of Medical Research

基　　金：新疆维吾尔自治区自然科学基金资助项目(2016D01C203)

摘　　要：目的探讨子宫动脉栓塞术对治疗子宫腺肌病的临床治疗效果。方法收集2014～2016年于笔者医院就诊的55例子宫腺肌病患者,入院后完善相关检查,排除UAE禁忌证并获得患者知情同意后均在月经干净3～7天行子宫动脉栓塞术,术后随访24个月,记录患者子宫体积、病灶体积、血红蛋白、FSH、LH、E2及CA125变化情况。结果 55例患者均成功行子宫动脉栓塞术,均未见严重感染、闭经等并发症,术后24个月患者子宫体积及病灶体积均较术前明显缩小,贫血程度得到缓解,CA125水平明显降低,差异均有统计学意义(P <0. 05),FSH、LH及E2水平较术前无明显变化,差异无统计学意义(P> 0. 05)。结论UAE治疗子宫腺肌病安全、有效,能很好的缓解患者的临床症状,保留患者的子宫,且对患者的卵巢功能无影响或影响甚小,是一种微创、临床疗效肯定的方法。Objective To investigate the effect of uterine artery embolization in the treatment of adenomyosis.Methods We collected 55 patients of adenomyosis which were treated with uterine artery embolization from 2014 to 2016 in our hospital.All of the patients were allowed to accept the operation,the operation were adopted in 3 to 7 days after menstruation clean.The changes of uterine volume,lesion volume,hemoglobin,FSH,LH,E 2 and CA125 were followed up for 24 months after the operation.Results Uterine artery embolization was successfully performed in 55 patients.There are no severe complications such as infection,amenorrhea,24 months after surgery in patients with uterine volume and lesion volume were more significant reduction.Preoperative anemia degree of ease,and CA125 levels significantly decreased.Differences were statistically significant(P<0.05).There were no obvious change in FSH,LH and E 2 level compared with preoperative.There was no statistically significant difference(P>0.05).Conclusion UAE is a safe and effective treatment for uterine adenomyosis.It can effectively relieve the clinical symptoms of patients,and reserve the uterine of the patients,and the influence on ovarian function is small.It is a minimally invasive and clinically effective method.

关 键 词：子宫腺疾病 介入治疗 动脉栓塞 卵巢功能 

分 类 号：R71[医药卫生—妇产科学]