选择性子宫动脉栓塞术治疗子宫肌瘤的临床应用  

Clinical application of selective uterine ar tery embolism on hysteromyoma

作　　者：姜涛[1] 尹吉梅[1] 张卫平[1] 赵延吉[1] 季晓华[1] 张玲玲[1] 周锡香[1] 李节良[1] 田维泽[1] 

机构地区：[1]山东省莱州市人民医院,山东莱州261400

出　　处：《医学影像学杂志》2003年第10期761-763,共3页Journal of Medical Imaging

摘　　要：目的 :观察双侧子宫动脉栓塞术治疗子宫肌瘤的临床效果。方法 :采用Seldinger’s技术经皮股动脉穿刺插管 ,超选择性子宫动脉栓塞治疗 43例子宫肌瘤患者 ,栓塞剂选用PVA颗粒 (直径分别为 3 3 5～ 50 0 μm、50 0～ 710 μm ) ,完全阻断子宫动脉血流 ,术后定期随访观察。结果 :栓塞后肌瘤的血供可完全阻断。术后 1、3、6个月复查 ,一般术后当月即见月经血量减少 ,本组有 40例在术后 3个月后月经均基本恢复正常 ,余 3例也有改善 ,无 1例出现闭经者。术后 1个月彩超复查 ,子宫体积缩小 10 %以上 ,肌瘤缩小 0 .5～ 1.0cm ,3个月复查 ,子宫体积缩小 2 0 %以上 ,肌瘤缩小 15%～ 40 % ,6个月复查 ,子宫体积缩小 40 %以上 ,肌瘤缩小 2 0 %～ 60 %。结论 :子宫动脉栓塞术治疗子宫肌瘤是一种安全可靠的微创治疗技术。Objective:To observe the clinic al effect of bilateral uterine arter y embolism on hysteromyoma.Methods:4 3 cases with hysteromyoma were treated b y inserting a microtuke through femoral artery to selective uterine artery (Sedi nger's Methd) and injecting PVA to stop the local blood the follow-up visits we re made periodicaly.Results:The menses of the cases became normal angiographily after 1,3,or 6 months of the operation.There was no cases of amensia.The uterine volume was decreased 10%～20% and 20%～60% relatively after 1,3 and 6 monthsColor-ultrasound follow-up.Conclusion:Uter ine artery embolism was a new mini- wound method to hysteromyoma.It was proved to be safe,convenient and effective w ithout severe complications.The long-term effective rate and the recurence rate of theahysteromyoma,however,were still to be investigated.

关 键 词：子宫肌瘤 介入性栓塞术 血管造影 

分 类 号：R814.43[医药卫生—影像医学与核医学]