摘要
目的观察PVA(聚乙烯醇)颗粒子宫动脉栓塞(UAE)治疗子宫腺肌病的临床效果。方法对26例根据临床症状、彩色超声或磁共振成像检查诊断为子宫腺肌病的患者行UAE治疗。术后观察月经量、痛经程度及子宫体积等变化。结果26例患者子宫动脉栓塞均一次成功,UAE治疗后平均观察5个月,21例患者术后痛经完全消失,3例明显缓解,2例缓解7～9个月后复发;临床显效率达92.3%;月经量明显减少,而月经周期及经期无变化;术后疼痛评级比术前明显降低,彩色超声或MR检查显示子宫体积明显缩小。结论PVA栓塞剂子宫动脉栓塞治疗子宫腺肌病是一种近期疗效显著、安全有效的治疗途径。
Objective To assess the clinical effects of uterine arterial embolization (UAE) with polyvinyl alcohol (PVA) in the treatment of adenomyosis. Methods UAE was performed in 26 patients with adenomyosis with PVA particles (250-500 μm) . All patients were followed-up after the operation. Results Clinical symptoms of all 26 patients relieved obviously. The symptoms of pain completely disappeared in 21 patients and relieved significantly in 3 patients after UAE. The volume of uterine decreased significantly. The symptoms of 2 patients recurrenced 7-9 months after reliving. Conclusion UAE with PVA is an effective and less invasive method to treat adenomyosis.
出处
《中国介入影像与治疗学》
CSCD
2005年第4期283-285,共3页
Chinese Journal of Interventional Imaging and Therapy
关键词
子宫腺肌病
子宫动脉栓塞
聚乙烯醇
Adenomyosis
Uterine arterial embolization
Polyvinyl alcohol
