超选择子宫动脉栓塞治疗症状性子宫肌瘤

Ultra-Selective Uterine Arterial Embolization for Treatment of Symptomatic Fibroids

目的:探讨超选择子宫动脉栓塞治疗症状性子宫肌瘤的临床效果。方法:对56例症状性子宫肌瘤患者采用Seldinger技术,经导管超选择栓塞子宫动脉,栓塞术后3个月及6个月复查。结果:56例全部超选择成功,所有患者临床症状明显改善,术后3个月、6个月子宫体积平均缩小40.1%及50.3%;肌瘤体积平均缩小38.8%及60.6%。结论:超选择子宫动脉栓塞治疗症状性子宫肌瘤创伤小、疗效确切,术后并发症发生率低,具有较广泛的临床应用价值。

Objective： To investigate the clinical effect of ultra-selective uterine arterial embolization for treatment of symptomatic fibroids. Methods：Fifty-six patients with symptomatic fibroids were treated by Seldinger＇ s technique and the transcatheter ultra-selection was used to embolize the uterine artery. And then the reexamination was carried out about 3 months and 6 months after the embolization. Results： All of 56 cases treated by ultra-selection were successful and the clinical symptoms were improved significantly. The average uterine volume diminished 40.1% or 50.3% and the average fibroids volume diminished 38.8% or 60.6% about 3 months and 6 months after the operation. Conclusion： As a minimal invasive technique, the ultra-selective uterine arterial embolization is of obvious curative effect in treatment of symptomatic fibroids . The postoperative morbidity rate of complications is lower and it has great extensive clinical applied value.