子宫腺肌症介入治疗128例临床分析

Clinical analysis of interventional therapy to 128 cases with adenomyosis

目的通过对子宫腺肌症患者用介入法进行治疗,探讨该方法治疗子宫腺肌症的临床价值。方法在数字减影血管造影机(DSA)的监视下,采用Seldinger技术穿刺右侧股动脉,将子宫动脉导管分别超选插入双侧子宫动脉,注入聚乙烯醇微粒(PVA)及平阳霉素,完全栓塞双侧子宫动脉。结果本组治疗128例子宫腺肌症患者,全部成功栓塞双侧子宫动脉,技术成功率100%,术后随访6～72个月,128例中有80例(62.5%)术后痛经完全消失,42例(32.8%)明显缓解,6例(5%)部分缓解。有21例在术后9～36个月正常怀孕并分娩健康婴儿。结论介入治疗是目前临床治疗子宫腺肌症的一种有效方法。

Objective To approach the clinical value of interventional therapy for the adenomyosis . Methods The catheters were inserted into balateral uterine artery selectively through the femoral artery using Seldinger technique and then polyvinyl alcohol particles（PVA） and pingyangmycin were injected to embolize bilateral uterine artery absolutely. Results There were 128 cases of adenomyosis in this study and all uterine arteries were embolized successfully. The technical success rate was 100%. After follow-up 6-72moths, dysmenorrheal was complete remission in 80 cases, relieved obviously in 42 cases, partial remission in 6 cases. Twenty one cases were pregnant after therapy and delivered healthy infants. Conclusions Interventional therapy was effect in clinical treatment of adenomyosis.