栓塞术治疗子宫肌瘤的临床研究

Embolization of Uterine Artery for the Treatment of Hysteromyomas

目的 评价栓塞术治疗子宫肌瘤的临床应用价值。资料与方法 73例症状性子宫肌瘤 ,选择性双侧子宫动脉插管造影明确子宫肌瘤血供后 ,分别行栓塞术。结果 本组子宫肌瘤均表现为双侧子宫动脉供血 ,并行一次性两侧栓塞 ,技术成功率 10 0 %。术后 3～ 6个月 ,98.33%月经恢复正常 ,92 .6 8%贫血缓解 ,压迫症状均缓解 ,肌瘤体积分别缩小 47.92 %和 5 6 .0 5 %。副反应有缺血性盆腔疼痛、发热和消化道反应 ,余无其他严重并发症。结论子宫动脉栓塞术治疗子宫肌瘤安全、有效。

Objective To assess the safety and effectiveness of selective embolization of the uterine arteries in the management of symptomatic hysteromyomas.Materials and Methods Seventy three consecutive women patients with symptomatic hysteromyoma were included in this study. Selective catheterization of uterine arteries was carried out to confirm the feeding artery of the tumor, and embolization procedure was followed.Results All hysteromyomas in this study were supplied by bilateral uterine arteries, and successful bilateral embolization was completed in all cases by one procedure. During a following up period of 3～6 months, menstruation resumed normal in 98.33%, with improvement of anemia (92.68%) and pressure related pelvic symptoms (100%). The decrease in tumor's volume was 47.92%～56.05%. Except pelvic ischemic pain, fever and nausea in some cases, no severe complications occurred.Conclusion As a minimally invasive technique, uterine artery embolization is an effective and safe management for the treatment of hysteromyomas.