子宫肌瘤栓塞治疗超声复查疗效分析

Ultrasonographic follow-up study of transcatheter embolization for uterine fibroids

目的:探讨子宫肌瘤栓塞后吸收、缩小的程度与时间的关系。材料与方法:42例子宫肌瘤超选双侧子宫动脉插管,用直径355～500μm的PVA100mg,栓塞不充分的加明胶海绵。结果:39例栓塞双侧子宫动脉,多以一侧为主,3例栓塞一侧子宫动脉,术后2,4,6,12个月复查超声,肌瘤平均缩小为:2月30%,4月45%,6月65%,12月80%。结论:子宫动脉栓塞治疗应用超声复查对比准确可信,肌瘤缩小与时间关系因肌瘤的大小、类型、栓塞程度的不同而异。

Objective:To investigate th e decrease extent of fibroid volume with elapse of time postoperative by ul trasono-graphic follow up.Meth ods:After selective catheterization of the bi lateral uterine arteries,forty-two cases of uterine fibroids were treated by uterine artery embolization with100mg PVA particles of 355～500ìm,a nd supplemented with gelatin sponge particles when necessary.Re sults:Thirty- nine of 42cases underwent bilateral uterine artery embolization,unilateral e mbolization in3cases.Ultrasonogr...