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作 者:崔宁[1] 郑大慈[1] 吴海江[1] 蒋英[1] 李志芳[1] 乔丽华[1] 骆勇[1] 张佳青[1] 刘宁平[1] 曹驰[1]
出 处:《介入放射学杂志》2003年第6期410-411,共2页Journal of Interventional Radiology
摘 要:目的 探讨经导管子宫动脉栓塞术治疗子宫腺肌病的临床效果。方法 选择 1 5例子宫腺肌病患者 ,采用Seldinger技术行双侧子宫动脉插管 ,造影确诊后注入携带有抗生素的聚乙烯醇 (PVA)栓塞颗粒进行栓塞 ,术后 1、3、6、1 2个月观察其疗效。结果 子宫动脉栓塞治疗后 ,月经恢复正常 ,贫血症状改善 ;子宫、病灶体积缩小显著 ;1 4例患者术后 3个月内痛经消失 ,1例明显缓解 ;彩超示病灶内血流信号明显减少。结论 子宫动脉栓塞治疗子宫腺肌病是一种微创。Objective To evaluate the clinical value of treatment by uterine arterial embolization on adenomyosis. Methods Fifteen cases of adenomyosis were treated by uterine arterial embolization. The 3.0 F or 4.0 F Cobra catheter was placed separately into the both uterine arteries with polyvinyl alcohol foam particles(PVA) as the embolic agent. The patients were followed up at 1,3,6 and 12 months postoperatively. Results The menorrhagia was controlled and the symptoms of anemia were relieved in all the patients. The blood flow within the uterine foci decreased immediately after embolization shown on color Doppley flow imagings. Conclusions Uterine arterial embolization is an effective and less invasive way to treat adenomyosis.
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