子宫动脉栓塞术治疗子宫腺肌病62例临床分析

Clinical Analysis of Uterine Artery Embolization in Treating 62 Cases with Adenomyosis

目的探讨子宫动脉栓塞术治疗子宫腺肌病的临床疗效。方法对62例根据临床症状及超声诊断为子宫腺肌病的患者,行子宫动脉栓塞术。应用Cordis 4F Cobra导管完成双侧子宫动脉插管。先将超液化碘油加平阳霉素HPYM)乳化后进行栓塞,再用明胶海绵栓塞子宫动脉主干。术后观察病人痛经程度,月经量及子宫体积变化。结果62例病人栓塞后56例(90.3%)术后2月痛经症状完全消失;4例治疗后症状明显缓解,术后第四月痛经消失。52例患者月经量较术前明显减少,全部病例子宫体积及病灶呈进行性缩小。结论介入法子宫动脉栓塞术治疗子宫腺肌病,创伤小,安全性好;临床疗效显著,能显著改善了病人生活质量。

Objective To discuss the clinical effect of uterine artery embolization in treating adenomyosis. Methods 62 cases with adenomyosis diagnosed with the clinical symptoms and confimed by ultrasound examination received uterine artery embolization. Observation was made to the change of the dysmenorrhea degree, menstrual blood volume and uteri volume of the patients after operation. Results ： Out of the 62 patients, 56 patients had no more dysmenorrheal 2 months after operation; 4 patients showed significant relief of the symptoms soon after operation and dysmenorrheal disappeared 4 months later; the menstrual blood volume decreased significantly in 52 eases after operation, all the eases showed uteri volume and lesions kept contracting. Conclusions Uterine artery embolization is of small wound, good safety, obvious curative effect in treating adenomyosis and it is helpful in improving the living quality of the patients.