经皮子宫动脉栓塞治疗子宫肌瘤临床应用  

Clinical application of uterine artery embolization for treatment of uterine fibroids

作　　者：张铁汉[1] 张继东[1] 董延龙[1] 程磊[1] 吴凤贤[1] 宋海英[1] 

机构地区：[1]黑龙江省齐齐哈尔市第一医院介入治疗中心,齐齐哈尔161005

出　　处：《实用肿瘤学杂志》2003年第3期233-235,共3页Practical Oncology Journal

摘　　要：目的 探讨经皮子宫动脉栓塞治疗子宫肌瘤的方法、疗效及并发症。方法 本组56例、平均年龄36岁,年龄范围24～51岁,单发41例,多发15例,均行超选择双侧子宫动脉插管,应用PVA栓塞。结果 成功率100％。随访4～23个月, B超缩小40％～80％。7例粘膜下肌瘤,经阴道排出部分坏死肌瘤组织并经病理证实。全部患者症状消失或改善。结论子宫肌瘤栓塞治疗子宫肌瘤,创伤小、疗效确切、并发症少,是有效的治疗方法之一。Objective To evaluate the method, efficiency and complication of uterine artery emboliztion for uterine fibroids. Methods There were 56 patients. With Age ranged from 24- 51 years old with an average of 36.41 patients had solitary uterine fibroid, 15 patients multiple uterine fibroids. All patients underwent bilateral uterine artery embolization with polyvinyl aclcohol particles. Results The successful rate reached 100%, B-mode ultrasound exmination following 4 - 23 months after the proceduce, revealing a shrinkage of 40% -80% in volume of the masses. Expulsion of fibroids fragments or even whole fibroids after uterine embolization have been observed in 7 cases, which were proved by pathology. All patients symptoms were improved or disappeared. Conclusion Uterine artery embolization for treatment of uterine fibroids is effective and low complication method.

关 键 词：子宫肌瘤 经皮子宫动脉栓塞 治疗 临床应用 疗效 

分 类 号：R737.33[医药卫生—肿瘤]