超选择子宫动脉栓塞术治疗子宫肌瘤的临床应用

Clinical application of uterine artery embolization on treatment of uterine fibroids

目的探讨超选择子宫动脉栓塞术治疗子宫肌瘤的临床应用。方法对43例子宫肌瘤患者进行超选择子宫动脉栓塞治疗,观察术后反应和症状变化,术后6个月复查。结果造影显示,双侧子宫动脉供血22例,一侧为主18例,单纯一侧供血3例,肌瘤缩小50%以上23例,肌瘤缩小50%以内17例,1例术后有增大,2例出现严重并发症。结论子宫动脉栓塞术治疗子宫肌瘤是一种安全有效的微创治疗方法。

Objective To investigate the clinical application of uterine artery embolization on uterine fibroids. Methods Uterine arterial embolization was performed in 43 patients with uterine fibroids. The post-operative reactions and symptomatic improvement were observed in 6 months. Results The angiographic featues of uterine leiomyoma were： 22 cases from both uterine arteries equally, 18 cases mainly from one uterine artery, 3 cases simply from one uterine after, more than 50% of reduction in leiomyoma size was 23 cases, less than 50% 17 cases, 1 eases growed. Severe complications were discovered in two cases. Conclusion Uterine artery embolization is a micro-traumatic, effective method for the management of symptomatic uterine fibroids.