子宫肌瘤的介入治疗  

Interventional Therapy of Uterine Fibroids

作　　者：刘福全[1] 王蔼明[2] 岳振东[1] 李红霞[1] 李荣环 刘佩新[4] 

机构地区：[1]北京铁路总医院介入中心,北京100038 [2]海军总医院妇产科 [3]北京万杰医院介入科 [4]北京平谷区医院介入科

出　　处：《实用放射学杂志》2004年第5期442-444,共3页Journal of Practical Radiology

摘　　要：目的　评价子宫动脉栓塞术治疗子宫肌瘤的疗效。方法　对 182例子宫肌瘤患者进行超选择性子宫动脉栓塞术。结果　栓塞双侧子宫动脉 173例 ,单侧 9例。 168例完整随访者术后 6个月子宫体积平均缩小 42 % ,16例肌瘤消失 ,15 2例肌瘤体积平均缩小 67%。临床症状明显改善。主要副作用为下腹部疼痛 ( 13 5 /182 )。结论　子宫动脉栓塞术是治疗子宫肌瘤的良好方法。Objective To evaluate the effectiveness of suberselective uterine arterial embolization for uterine fibroids.Methods Uterine arterial embolization with golyvimylalcohol(PVA) particles or Iodized oil and Gelfoam or Pingyangmycin lipiodol and Gelfoam was performed in 182 patients with uterine fibroids.Results Bilateral and unilateral superselective uterine arterial embolization were performed in 173 cases and 9 cases respectively. 6～28 months (mean 11 months) after the procedure, complete disappearance of tumor(16 cases), an average shinkage of 67% in tumor volume(152 cases) and a mean 42% reduction of uterine volume were obtained in 168 followed-up cases. The clinical symptoms were relieved significantly.The main side effets were hypogastic pain(135/182).Conclusion Superselection uterine arterial embolization is an effective and microinvasive method in treating uterine fibroids.

关 键 词：子宫肌瘤 介入治疗 子宫动脉栓塞术 手术方法 明胶海绵颗粒 

分 类 号：R737.33[医药卫生—肿瘤] R730.56[医药卫生—临床医学]