子宫动脉栓塞治疗子宫肌瘤的临床研究  

Artery embolization for treatment of uterine myoma

作　　者：李立照[1] 吴敬斌[1] 容浩[1] 王广生[1] 王艺兵[1] 张永辉[1] 葛小兵[1] 李洁华[1] 

机构地区：[1]广东省化州市人民医院,广东化州525100

出　　处：《现代医药卫生》2004年第8期605-606,共2页Journal of Modern Medicine & Health

摘　　要：目的 :评价选择性子宫动脉平阳霉素碘油乳剂 (PLE)灌注及栓塞 ,治疗子宫肌瘤的临床疗效及安全性。方法 :对30例子宫肌瘤患者行选择性子宫动脉PLE灌注及明胶海绵颗粒栓塞 ,随访3～18个月 ,观察子宫及肌瘤缩小的程度及临床症状缓解情况。结果 :栓塞技术成功率100 % ,子宫动脉造影显示肌瘤外层血管增粗纡曲 ,分支数量增多 ;肌瘤内部见致密的毛细血管网。30例栓塞后6个月 ,临床症状明显改善 ,肌瘤体积平均缩小约48 % ,总有效率达100 %。结论 :PLE选择性子宫动脉栓塞治疗是一种安全可靠创伤小 ,疗效高的好方法。Objective:To evaluate the effecfiveness and safety of uterine anterial embolization wigh Pinmyangmycin(a homogenous bleomycin)Lipiodol emulsion(PLE)for symptomatic uterine fibroidol.Methods:Uterine arterial embolization with PLE and gelatin foam granule was performed in30patients The improvement of symptoms and uterine size changes were folllwed up in3～18months after the procedure.Reˉsults:100%of the cases were seccessfully treated with embolization Supersective angiography showed enlargement of uterine artery,accompanicd by tortuous branches Six months after the procedure,a mean48%reduction of uterine volume was obtained in30follwed-up cases.The clinical symptoms were relieved significantly,The effestiveness reached up to100%.Conclusion:Uterine arterial embolization with PLE is a safe,reliable good and non-surgical therapy in symptomatic uterine fibroids.

关 键 词：子宫动脉栓塞 治疗 子宫肌瘤 临床研究 

分 类 号：R737.33[医药卫生—肿瘤]