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重视子宫动脉栓塞治疗子宫肌瘤适应证与禁忌证的掌握 被引量：6

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摘要 自1995年法国Ravina JH首次报道采用子宫动脉栓塞术(uterine artery embolization，uAE)治疗症状性子宫肌瘤以来，作为子宫切除术和子宫肌瘤剔除术以及药物治疗的替代治疗方法。因具有操作简便、创伤小、止血迅速、有效、患者易耐受、可以保留子宫，以及住院时间短等优点，已在世界范围内越来越多地被采用。其治疗原理为将双侧子宫动脉栓塞后，子宫肌瘤平滑肌细胞发生变性坏死，由于肌瘤细胞分裂程度相对较为活跃，对缺血缺氧的耐受力差，故细胞变性坏死发生较早，且程度较重，
作者 向阳
机构地区 中国医学科学院中国协和医科大学北京协和医院妇产科
出处 《世界医学杂志》 2004年第11期10-11,共2页 International Journal of Medicine
关键词 子宫肌瘤 子宫动脉栓塞治疗 禁忌证 坏死 适应证 双侧 瘤细胞 发生 耐受力 变性
分类号 R737.33 [医药卫生—肿瘤] R713.42 [医药卫生—妇产科学]
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参考文献19

  • 1Ravina JH, Herbreteau D, Ciraru-Vigneron, et al. Arterial embolisation to treat uterine myomata. Lancet 1995, 346: 671-672.
  • 2陈春林,吕军,刘萍,余莉萍,马奔,刘佩鸣.子宫动脉栓塞术治疗子宫肌瘤42例临床分析[J].中华妇产科杂志,2002,37(1):8-11. 被引量：101
  • 3Hurst BS, Stackhouse DJ, Matthews ML, et al. Uterine artery embolization for symptomatic uterine myomas. Fertil Steril, 2000, 74: 855-869.
  • 4Ravina JH. Embolization of uterine myomata: methods, limits and future. XII FIGO World Congress of Gynecologist and Obstetrics 2003.
  • 5Ravina JH. Embolization of uterine myomata: methods, limits and future. XII FIGO World Congress of Gynecologist and Obstetrics 2003.
  • 6Messina ML, Bozzini N, Halbe HW, et al. Uerine artery embolization for the treatment of uterine leiomyomata. Int J Gynaecol Obstet,2002, 79(1 ): 11 - 16.
  • 7Broder MS, Goodwin S, Chen G, et al. Comparison of long-term outcomes of myomectomy and uterine artery embolization. Obstet Gynecol, 2002, 100 (5 Pt 1 ): 864-868.
  • 8McLucas B, Adler L, Pert'ella R. Uterine fibroid embolization: nonsurgical treatment for symptomatic fibroids. J Am Coil Surg, 2001, 192: 95-105.
  • 9李广太,杨秀玉.子宫动脉栓塞术治疗子宫肌瘤的进展及评价[J].中华妇产科杂志,2002,37(1):58-60. 被引量：21
  • 10Bradley EA, Reidy JF, Forman RG, et al. Transcatheter uterine artery embolization to treat large uterine fibroids Br J Obstet Gynaecol, 1998, 105: 235-240.

二级参考文献29

  • 1Ravina JH, Aymard A, Ciraru-Vigneron N, et al. Arterial embolization of uterine myoma: results apropos of 286 cases. J Gynecol Obstet Biol Reprod (Paris),2000, 29:272-275.
  • 2Pelage JP, Le Dref O, Soyer P, et al. Arterial anatomy of the female genital tract: variations and relevance to transcatheter embolization of the uterus. AJR Am J Roentgenol, 1999,172:989-994.
  • 3Ravina JH, Merland JJ, Herbreteau D, et al. Preoperative embolization of uterine fibroma: preliminary results (10 cases). Presse Med, 1994,23:1540.
  • 4Seldinger SL. Catheter relacement of needle in percutaneous arteriography: new technique. Acta Radid, 1953, 39:368-371.
  • 5Hurst BS, Stackhouse DJ, Matthews ML, et al. Uterine artery embolization for symptomatic uterine myomas. Fertil Steril, 2000 ,74:855-869.
  • 6Pelage JP, Le Dref O, Jacob D, et al. Uterine artery embolization: anatomical and technical considerations, indications, results, and complications. J Radiol, 2000, 81:1863-1872.
  • 7Andersen PE, Lund N, Justesen P, et al. Uterine artery embolization of symptomatic uterine fibroida: initial success and short-term results. Acta Radiol, 2001 ,42:234-238.
  • 8Wong GC, Muir SJ, Lai AP, et al. Uterine artery embolization: a minimally invasive technique for the treatment of uterine fibroids. J Womens Health Gend Based Med, 2000,9:357-362.
  • 9Vashisht A, Studd JW, Carey AH, et al. Fibroid embolisation: a technique not without significant complications. BJOG, 2000,107:1166-1170.
  • 10Johanet G, Allemand H. Arterial embolization of uterine fibromas:the advice of the scientific council of CNAMTS. Gynecol Obstet Fertil, 2000,28:838.

共引文献118

同被引文献62

引证文献6

二级引证文献58

世界医学杂志
2004年 第11期

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