子宫腺肌病动脉栓塞治疗30例报告

Uterine Artery Embolization for Treatment of Adenomyosis:30 Cases Report

目的:探讨子宫动脉栓塞术治疗子宫腺肌病的临床疗效。材料与方法:对30例子宫腺肌病患者行子宫动脉栓塞治疗,观察随访临床症状改善情况。结果:30例患者子宫动脉栓塞治疗后平均观察13·5±3·5个月经周期,随访均超过6个月,观察满12个月者22例。治疗后28例痛经完全缓解,2例明显缓解。术后29例患者月经量较术前明显减少,月经周期和经期无明显改变,未出现严重并发症。结论:子宫动脉栓塞治疗子宫腺肌病疗效显著,应作为该病的常规治疗方法之一。

Purpose： To assess the clinical effects of uterine arterial embolizafion for treatment of adenomyosis. Materials and Methotis： Thirty patients with adenomyosis were undertaken double uterine arteryembolization. Clinical symptoms were followed up. Results： Thirty patients were followed up for 13.5±3.5 emmenia cycles after operation. Following - up duration was more than 6 months in all cases and more than 12 months in 22 cases. Dysmenorrhe symptom was disappeared completely in 28 cases and partly improved in 2 cases. Menstruating reduced to normal amount in 29 cases, but emmenia cycles had not changed. No severe comoplications occurred in all patieuts. Conclusion： Uterine artery embolization were effective for adenomyosis, and should be as a routine procedure for treatment of adenomyosis.