子宫肌瘤栓塞术中子宫动脉卵巢支的显示及其意义

Clinical Significance of Ovarian Artery Opacification during Uterine Fibroid Embolization Therapy

目的 研究子宫肌瘤动脉栓塞治疗时 ,卵巢支显示与卵巢功能改变的关系。资料与方法 对 2 5 3例行动脉栓塞治疗子宫肌瘤患者进行回顾性研究 ,统计子宫动脉卵巢支显示类型 ,比较不同显示类型与发生停经、闭经的关系。结果 子宫动脉造影时 ,196例未显示卵巢血管 ,其中有 4例治疗后发生停经或闭经 ,5 7例显示卵巢血管 ,其中 5例发生停经或闭经。两者比较有显著性差异 (χ2 =4 .0 4 ,P <0 .0 5 )。结论 子宫动脉造影卵巢支显示的患者 ,卵巢功能可能易受影响 。

Objective To investigate the relationship between the visualization of ovarian artery during the procedure of uterine fibroid embolization and the postoperative ovarian function change.Materials and Methods Clinical data and angiographic findings in 253 patients having received embolization therapy for symptomatic uterine fibroid were retrospectively analyzed. The opacification and pattern of the ovarian artery were observed and the results were compared with the postoperative change of ovarian function (menolipsis or amenorrhea). The relationship between the visualization of ovarian artery and the postoperative ovarian function was analyzed.Results Of 253 cases, ovarian artery was not angiographically visualized in 196, of which 4 developed menolipsis or amenorrhea after the treatment. Ovarian artery was visualized in the remaining 57 cases, of which 5 developed menolipsis or amenorrhea after the therapy. Significant difference in the occurrence of menolipsis or amenorrhea existed between the above two groups (χ 2=4.04, P<0.05).Conclusion The ovarian function is more likely to be affected in the patients whose ovarian artery is visualized during uterine arterial angiography, being manifested as menolipsis or amenorrhea.