子宫动脉栓塞术治疗子宫肌瘤的临床研究

Therapeutic effect analysis of uterine arterial embolization in treatment of uterus myoma

目的探讨经动脉导管行子宫动脉栓塞术（UAE）治疗子宫肌瘤的疗效。方法对临床症状、体征及影像检查确诊为子宫肌瘤的患者56例的99个肌瘤，行子宫动脉栓塞术。术前、术后三维彩超检查，对比肌瘤体积的变化，术后随访观察月经量和腹部疼暖症状的变化。结果99个肌瘤术前平均体积为（128±16.7）cm^3，UAE后5个月平均体积为（26.2±3．4）cm^3，体积缩小率为79．7％；黏膜下、肌壁间肌瘤体积缩小率与黏膜下肌瘤相比均有统计学意义；13例合并子宫腺肌症者，术前肌瘤平均体积（105．2±10．6）cm^3，UAE后5个月肌瘤平均体积（56.2±7.6）cm^3，体积缩小率45％。结论子宫动脉栓塞术是治疗子宫肌癌的有效方法，临床可选择性替代手术治疗。

Objective To obserapeutic the therapeutic effect of uterine arterial embolization （UAE） in the treatment of uterine myoma . Methods Fifty six uterus myoma patients diagnosised by clinical symptom ,signs,imageolgy were undertaken UAE and checked by 3 - Dcolor dopper flow imaging （CDFI） to compare change of volume of ninety nine uterus myoma. The diversity of symptom of menstrual blood volume and stomache was visited by follow - up. Results The average volume of ninety nine uterus myomas was （ 128 ±16.7 ） cm^3 before operation , but was （26.2 ±3.4）cm^3 after operation of UAE . The minification of uerus myoma volume was 79.7% . There were signifiuant difference between submucosal ,intramural myoma and subserous myoma . The average volume of uterus myomas of thirteen partients complicated adenomyosis was （ 105.2 ±10. 6） cm^3 before operation , but was （56.2 ±7.6） cm^3 after operation of UAE . The minification of uters myoma was 45% . Conclusion UAE was an effective method in treatment of uterus myomas and can substitute operation in some proper patients.