血管介入治疗子宫良性肿瘤91例疗效分析

TREATING EFFECT ANALYSIS OF 91 CASES IN TREATING UTERUS BENIGN TUMOR BY BLOOD VESSEL INTERVENTION

目的 探讨经导管子宫动脉介入栓塞术治疗子宫肌瘤、子宫腺肌瘤的临床疗效。方法总结性分析我院收治的经血管介入性治疗72例子宫肌瘤、19例子宫腺肌瘤的临床资料。采用改良Seldinger技术行双侧子宫动脉插管栓塞术，2001～2003年采用的栓塞剂为聚乙烯醇（PVA）微粒，2004～2005年为海澡酸球钠（KMG），于术后3个月、6个月、12个月、2年、3年观察其疗效。结果 子宫动脉插管栓塞术成功率98％，术后肌瘤渐进性缩小，12个月时，肌瘤体积平均缩小71％，7例消失，临床症状全部缓解。75例术后患者随访3年无复发。结论 子宫动脉栓塞术（UAE）是治疗子宫良性肿瘤的一种全新的、保留子宫的微创技术，是疗效显著的治疗方法。特别是子宫粘膜下肌瘤效果最为显著，合并大出血和出血不止者术后即可停止出血。但需注意并发子宫性闭经的问题。

Objective Inquiring into clinical curative effect that was got involved to bolt to fi0ll the operation treatment womb muscle lump, the womb gland muscle lump by the pipe womb artery. Methods Tally up analytical my hospital accepting patients, was involved by blood vessel clinical data that cures 72 cases temple muscle lumps, 19 cases temple gland muscle lumpses. The adoption improvement Seldinger technique goes a pair of sides womb artery to put the tube to bolt to fill the operation ,2001～2003 years adopt of bolt and fill in order to gather the polyvinyl alcohol particle,2004～2005 years are sodium alginate （KMG）, after operation 3,6 and 12 month,2 years,3 years observing its curative effect. Results The womb artery puts the tube to bolt to fill the rate 98% of the operation success, the operation is behind the muscle lump enters sex to contract gradually, 12 months the muscle lump physical volume contracts 71% equally,7 eases disappear, all of the clinical symptom alleviating, 75 cases did not relapse. Conclusions Uterine artery embolization is to cure the womb benign tumor, which is a kind of new and reserve the womb tiny technique . After merging the big issue of blood and bleeding a operation then stop issue of blood. But need the problem that the attention erupts the womb dysmenorrhea.