子宫动脉栓塞术治疗子宫腺肌病栓塞后综合征影响因素分析  

Analysis of the factors influencing the attack Post-embolization syndrome in adenomyosis treated with uterine artery embolization

作　　者：徐文翠 孙涛[1] 吕维富 XU Wencui;SUN Tao;LYU Weifu(Department of Gynecology,Maternal and Child Health Hospital,Anhui Medical University,Hefei 230000,China;Department of Medical Imaging,The First Affiliated Hospital of University of Science and Technology of China,Hefei230000,China)

机构地区：[1]安徽医科大学附属妇幼保健院妇科,安徽合肥230000 [2]中国科学技术大学附属第一医院医学影像科,安徽合肥230000

出　　处：《医学影像学杂志》2023年第6期1057-1061,共5页Journal of Medical Imaging

基　　金：中央高校基本科研业务费专项资金资助项目(编号:WK9110000061)。

摘　　要：目的探讨子宫腺肌病行子宫动脉栓塞术(UAE)及栓塞后综合征(PES)相关因素观察与分析。方法选取行UAE治疗的167例子宫腺肌病患者资料,将所有PES围术期潜在因素进行记录并评估分析,通过单因素和多因素logistic回归分析进行确定PES影响因素。结果子宫腺肌病UAE术后PES的发生率为61.07%(102/167)。单因素和多因素分析显示,病灶血供密度等级与PES发生风险显著相关(分别为P=0.008和P=0.002)。结论子宫腺肌病UAE术后患者PES发生与病灶血供等级密切相关,乏血供患者具有较高PES发生率,应引起临床和护理相关观察注意。Objective To investigate and analyze the related factors of the post-embolization syndrome(PES)after uterine artery embolization(UAE)in adenomyosis.methods 167 patients with adenomyosis who underwent UAE in our hospital from January 2020 were retrospectively analyzed.PES was evaluated,and all potential factors of perioperative were recorded and analyzed.The influencing factors of PES were determined by univariate and multivariate logistic regression analysis.Results The incidence of PES after UAE in adenomyosis was 61.07%(102/167).Univariate and multivariate analyses showed that the grade of vascularity was significantly associated with PES(P=0.008 and P=0.002,respectively).Conclusion The occurrence of PES with adenomyosis after UAE is closely related to the vascularity of the lesion.Patients with low vascularity have a higher risk of PES,which should be paid attention to in clinical and nursing care.

关 键 词：子宫腺肌病 栓塞后综合征 血管造影 子宫动脉栓塞 介入性 放射学 

分 类 号：R711.71[医药卫生—妇产科学] R815[医药卫生—临床医学]