介入栓塞治疗子宫腺肌病的临床应用

Uterine artery embolization for the treatment of adenomyosis

目的探讨子宫动脉栓塞术治疗子宫腺肌病的应用及疗效。方法对21例自愿接受该方法的患者,经导管分别行双侧子宫动脉聚乙烯醇微球(PVA),平阳霉素、超液化碘油乳剂(PLE)加明胶海绵颗粒栓塞。结果痛经完全缓解85.7%,明显缓解14.3%;彩超复查:术后6个月子宫体积平均缩小53.4%,局部病灶体积平均缩小50.2%;贫血均有纠正。结论子宫动脉栓塞术治疗子宫腺肌病是一种安全、疗效确切的临床手段。

Objective： To explore the efficacy of uterine artery embolization for the treatment of adenomyosis. Methods： 21 cases of adenomyosis were treated with uterine artery embolization using Polythene vinyl alcohol（PVA）, Pingyangmycin. Super lipiodol emulsion and gelatin sponge particles embolization. Results ： For dysmenorrheal, complete remission was 85.7%, partial remission was 14.3%. Uterine volume decreased 53.4% at 6 months, partial lesion volume decreased 56.7. Anemia was alleviated at varying degree. Conclusion ： uterine artery embolization for the treatment of adenomyosis is safe and effective means.