3D DSA引导子宫动脉栓塞的可行性  

Feasibility of 3D DSA in guidance of uterine artery catheterization

作　　者：李文全 李贵彬 邓湘生[1] 康友根 冯磊 LI Wenquan;LI Guibin;DENG Xiangsheng;KANG Yougen;FENG Lei(Department of Interventional Radiology,the Affiliated Hospital of Hunan Institute of Traditional Chinese Medicine,Changsha 410006,China;Department of Interventional Radiology,Xiangtan Central Hospital,Xiangtan 411100,China)

机构地区：[1]湖南省中医药研究院附属医院介入科,湖南长沙410006 [2]湘潭市中心医院介入科,湖南湘潭411100

出　　处：《中国介入影像与治疗学》2020年第7期398-401,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：湖南创新型省份建设专项经费资助项目(2019SK4013)。

摘　　要：目的观察采用3D DSA引导子宫动脉栓塞(UAE)的可行性。方法 20例患者因症状性子宫肌瘤(8例)、产后出血(5例)、瘢痕妊娠(3例)、子宫腺肌症(1例)和晚期宫颈癌(3例)接受UAE,其中采用3D DSA (3D组)及传统2D DSA(2D组)引导插管各10例,对比2组相关指标。结果对20例(共40条子宫动脉)均成功行UAE,均未见卵巢动脉参与供血。3D组手术时间、子宫动脉插管时间、透视时间、对比剂用量及辐射剂量均小于2D组(P均<0.05)。结论 3D DSA可用于引导UAE,且较传统2D DSA操作时间短、辐射剂量低。Objective To explore the feasibility of 3 DDSA in guidance of uterine artery catheterization(UAE).Methods A total of 20 patients,including symptomatic uterine leiomyoma(n=8),postpartum hemorrhage(n=5),scar pregnancy(n=3),adenomyosis(n=1)and advanced cervical cancer(n=3)underwent UAE guided by 3 D DSA(3 D group,n=10)or 2 DDSA(2 Dgroup,n=10).The relevant clinical indexes of 2 groups were compared.Results UAE was successfully performed in all 20 patients(40 uterine arteries).No blood supply from ovarian artery was found.The operation time,catheterization time and fluoroscopy time were both shorter,and the dosage of contrast agent and radiation doses were all lower in 3 Dgroup than those in 2 Dgroup(all P<0.05).Conclusion 3 DDSA can be used to guid UAE,with shorter operation time and lower radiation dose than traditional 2 DDSA.

关 键 词：子宫动脉 栓塞 治疗性 血管造影术 数字减影 

分 类 号：R711.74[医药卫生—妇产科学] R815[医药卫生—临床医学]