子宫肌瘤介入治疗临床应用研究

The Clinical Application and Research of Hysteromyoma by Interventional Therapy

目的:探讨UAE治疗子宫肌瘤的临床效果。方法:选择子宫肌瘤患者35例,采用Seldinger技术,行双侧子宫动脉插管,DSA证实后行UAE,栓塞剂选择PLE+GS,分别于术后3个月、6个月、12个月彩超复查观察疗效。结果:UAE后91·4%(32/35)病例临床症状缓解,92·8%(26/28)病人月经恢复正常。术后3个月、6个月、12个月复查,肌瘤缩小率分别为35%、55%、75%。结论:UAE治疗子宫肌瘤是1种疗效显著的微创技术,强调子宫动脉彻底栓塞的重要性。

Objective： To discuss the clinical value and effectivity by using UAE in treating hysteromyoma. Methods： 35 patients who suffered hysteromyoma and confirmed by DSA were treated with UAE by using Seldinger technology and two - sides uterine artey intubation. and the patients were applied color supor - sound examination to observe the curative effect after 3 months, 6 months and 12 months. Results： The 91. 4% （32/35） of all pieces whose clinical symptom had remised , and 92. 8% （26/28） of all pieces whose menstruate got right. The minification was 35%, 55%, 75% after 3 months, 6 months and 12 months since the period of operation to re - examination. Conclusion： The operation of USE was a kind of micro - wound thechnology which had obvious curative effects. It emphasized the importance of thorough embolism.