经导管动脉栓塞术在子宫肌瘤中的应用  

Application of Arterial Embolization by Catherization for Uterine Fibroid

作　　者：王国良[1] 詹松华[1] 韩洪杰[1] 杨振燕[1] 李怀芳[2] 李翊[2] 

机构地区：[1]同济大学附属同济医院医学影像科,上海200065 [2]同济大学附属同济医院妇产科,上海200065

出　　处：《实用放射学杂志》2003年第10期919-921,927,共4页Journal of Practical Radiology

摘　　要：目的　探讨经导管超选择性子宫动脉栓塞术治疗子宫肌瘤的临床应用价值。方法　 10 3例子宫肌瘤 ,采用双侧子宫动脉插管造影和栓塞治疗 ,栓塞剂为聚乙烯醇 (PVA)和明胶海绵。 67例栓塞后随访资料完整 ,并对造影所见、治疗后反应、症状变化和肌瘤大小改变进行总结和分析。结果　造影表现为子宫动脉增粗、扭曲及肿瘤染色。治疗后数月内月经增多症状均有不同程度改善 ,肌瘤均有缩小 ,肌瘤缩小程度随时间延长而显著。结论　经导管子宫动脉栓塞术对控制症状、缩小肌瘤体积有显著作用 ,是一种安全。Objective To investigate the clinical value of super-selective uterine arterial embolization for fibroid treatment.Methods 103 patients with uterine fibroid were treated by embolization after bilateral uterine super-catherization and arteriogram. The embolization materials were PVA particles and Gelfoam sticks. After the embolization, we completed follow-up documents in 67 cases. The apperance on arteriograms, the post-operative reactions, symptomatic improvement and tumor size change had been observed.Results An enlargement of the uterine artery and sign of tumor stain were noticed on the angiogram. Among the 67 patients, menorrhagia was all improved in different extent and the tumor volume decreased in all cases especially in the patients longer after operation.Conclusion Uterine arterial embolization is an easy operation with minor side effect and few complications. It is a safe and effective procedure for fibroid in controling the symptoms and shrinking the tumor.

关 键 词：经导管动脉栓塞术 子宫肌瘤 聚乙烯醇 明胶海绵 子宫动脉插管造影 

分 类 号：R737.33[医药卫生—肿瘤] R730.55[医药卫生—临床医学]