子宫肌瘤栓塞术镇痛缓释方法

PVA-lidocine control-releasing-technique for relieving pain after UAE

目的探讨子宫肌瘤栓塞术(UAE)缓解术后疼痛的方法。方法本组158例患者被分为治疗组110例,对照组48例。对照组行常规UAE治疗,栓塞剂为PVA。治疗组采用PVA-利多卡因混合栓塞剂。观察两组在腹痛发生率、腹痛程度、腹痛持续时间及峰值变化。结果在术后腹痛发生率方面,治疗组腹痛发生率为81.8%,对照组为97.8%;治疗组腹痛程度平均为Ⅱ度,对照组平均为Ⅲ度;持续时间平均为治疗组5.7d,对照组6.7d。峰值比较:治疗组较对照组降低近Ⅱ度,时间推迟1.0d。结论PVA-利多卡因缓释技术能有效地减轻UAE的术后腹痛。

Objective To improve the technique of UAE, and relieve abdominal pain alter UAE by PVA-lidoeine control-releasing-technique （PLCRT）. Methods 158 cases were divided into two groups： the treatment group 110 cases, the control group 48 cases. Both groups accepted routine UAE and received painrelieving treatment with other auxiliary adjuncts. The treatment group underwent PVA-lidoeine controlreleasing-technique and the control group only took PVA as embdolizer. The frequencies, degrees, persistences and the peaks of the abdominal pain after UAE of the two groups were recorded and compared. Results The rates of abdominal pain were 97.8% and 81.8% in control group and treatment group respectively. The average degrees of abdominal pain were Ⅱ in treatment group, and Ⅲ in control group respectively. The persistent time was about 5.7 days in treatment group and 6.7 days in control group. The peak of the abdominal pain of treatment group showed two degrees lesser than that of control group, together with prolongation of one day. Conclusion PLCRT can relieve abdominal pain efficiently after UAE. （J Intervent Radiol, 2006, 15： 278- 279）