子宫肌瘤动脉栓塞治疗近期无效病例分析

Short-term failure of uterine fibroid embolization

目的:对子宫肌瘤动脉栓塞治疗后近期内无效病例进行分析,探讨原因及预防措施。方法:182例用子宫动脉栓塞方法治疗的症状性子宫肌瘤病例中,治疗后6个月内有8例无效。对其临床资料、治疗过程进行回顾性分析,探讨引起无效的原因。结果:各有2例因1侧插管失败或血管痉挛,仅栓塞1侧子宫动脉;2例可能与动脉主干过早栓塞有关;另有2例,分析栓塞前造影,发现明显增粗的子宫动脉卵巢支。结论:子宫肌瘤治疗近期内无效病例,多数与技术因素有关,可以通过一定的措施避免或减少。

Objective： To analyze the short - term failure cases of uterine fibroid embolization （UFE）, discuss the causes and ways to prevent. Methods： Among 182 cases of symptomatic uterine fibroid after UFE, 8 failure cases were found within 6 months follow up. Their clinical data were analyzed to find out the causes of failure. Results： 4 cases were caused by unilateral catheterization failure or uterine arterial spasm; 2 may related to early embolization of main trunk artery; widened ovary branches of uterine artery were observed in 2 patients while analyzing the pre - embolization angiographs. Conclusion： Short - term failure of UFE is mostly related to technical factors and can be prevented or reduced by certain methods.