子宫动脉栓塞术治疗子宫肌瘤的临床观察

The Clinical Application of Uterine Asterial Embolization in Treating Hysteromyoma

目的探讨子宫动脉栓塞术(uterine asterial embolization,UAE)治疗子宫肌瘤的临床效果。方法选择子宫肌瘤12例,采用Seldinger技术,行双侧子宫动脉插管,DSA证实后行UAE,栓塞剂选用GS(明胶海绵颗粒),分别于术后3、6、12个月彩超复查观察疗效。结果UAE后83.3%(10/12)病例临床症状缓解,88.9%(8/9)患者月经恢复正常。术后3、6、12个月复查,肌瘤缩小率分别为40%、55%、76%。结论UAE是治疗子宫肌瘤的一种疗效显著的微创技术。

Objective To discuss the clinical value and effectivity by using UAE in treating hysteromyoma. Methods 12 patients with hysteromyoma and confirmed by DSA were treated with UAE by using Seldinger technology and two-sides uterine artery intubation and the patients applied color super-sound examination to observe the curative effect after 3 months, 6 months and 12 months. Results The 83.3% （10/12） of all cases whose clinical symptoms had been relieved, and 88.9% （8/9） of all cases whose menstruate got right. The minification was 40% , 55% , 76% after 3 months, 6 months and 12 months since the period of operation to reexamination. Conclusions The operation of UAE was a kind of micro-wound technology which had obvious curative effects.