超选择性子宫动脉栓塞治疗子宫肌瘤及卵巢内分泌功能的相关性研究  

Uterine Arterial Embolization to Treat Uterine Leiomyoma with Monitoring Functions of Ovary

作　　者：黄益[1] 武兴杰[1] 邓军[1] 梁志荣[1] 田明[1] 何力[1] 吴海江[2] 

机构地区：[1]广州铁路中心医院,510080 [2]江苏省徐州市中心医院介入放射科

出　　处：《齐齐哈尔医学院学报》2004年第4期366-368,共3页Journal of Qiqihar Medical University

摘　　要：目的　研究超选择子宫动脉栓塞治疗子宫肌瘤的作用及对生理功能的影响。方法　使用平阳霉素或PVA微粒碘油乳剂栓塞子宫肌瘤 35例 ,分两组 :A组 :栓塞子宫动脉主干 2 2例。B组 :栓塞子宫动脉分支末梢 13例。结果　病人总症状缓解率为 94 .2 % ,B组较A组明显 ,但两组间无显著性差别。月经状况、痛经、尿频、尿急、贫血等 1～ 3个月内可不同程度改善。并发症 :除栓塞综合征外 ,可见阴道少量血性分泌物 ,腰腿痛等均可自行恢复。治疗前后肌瘤 3～ 6个月缩小率在 30 %～ 6 8%之间。中短期疗效较稳定 ,未见复发。两组病人治疗前后肌瘤大小及性激素水平变化无明显差异。结论　子宫动脉栓塞术治疗子宫肌瘤操作简单 ,疗效确切。超选择子宫动脉分支末梢栓塞 ,术后并发症发生率低 。Objective To study the clinical effects of uterine arterial embolization on uterine leiomyoma and the physiologic functions of ovary after interventional therapy. Methods 35 patients were treated with uterine leiomyoma by different uterine arterial embolization ways .In group A the main uterine arteries were embolized,while in groulp B the branch uterine arteries were embolized. The embolic materials used in this study were PLM or PVA and Lipiodol. Results The clinical symptoms were improved in 94.2%.The better effects were achieved in group B than in group A.3-6 months follow-up study showed.Reduction of the volume of uterine ieiomyoma is by 30%-68%,the menorrhagia and menstruai cycles returned to normal and pain resolved. The physiologic functions of ovary was preserved completely.Conclusions Selevtive uterine arterial embolization is a good method for treatment of uterine leiomyoma with better effects and less trauma or lower complications.

关 键 词：超选择性子宫动脉栓塞 子宫肌瘤 卵巢 内分泌功能 介入治疗 并发症 

分 类 号：R737.33[医药卫生—肿瘤]