选择性子宫动脉栓塞治疗子宫肌瘤的临床研究

Clinical research of selective arteria uterina embolism to treat uterine fibroids

目的探讨选择性子宫动脉栓塞治疗子宫肌瘤的临床效果及应用价值。方法采用Seldinger’s技术作选择性子宫动脉栓塞治疗15例子宫肌瘤患者。经股动脉穿刺,将导管选择性进入双侧子宫动脉,经导管注入真丝线段和明胶海绵,阻断肌瘤血供。结果经血管造影发现,子宫肌瘤血供丰富,均由双侧子宫动脉供血,栓塞双侧子宫动脉后,子宫肌瘤血供可完全阻断,治疗后6个月的随访结果表明:月经量及月经周期恢复正常,疼痛明显改善,肌瘤和子宫体积明显缩小。临床有效率86.67%。结论选择性子宫动脉栓塞治疗子宫肌瘤是一种创伤小,临床效果好的新方法。

Objective： To investigate the use of selective uterine artery embolization in the treatment of uterine fibroids. Methods： The selective uterine artery embolization were done in 15 patients with uterine fibroids. After femoral artery puncture, the catheter entered bilateral uterine artery, and injected silk line and gelatin sponge to embolize the blood supply to fibroids. Results： Angiography revealed a rich blood supply of uterine fibroids by bilateral uterine artery. Bilateral uterine arteries were embolized. Six-month follow-up results showed that： fibroid volume reduced, and patients returned to normal menstrual cycle with significant improvement in pain. Clinical efficiency was 86.67%. CONCLUSION： Selective uterine artery embolization for treating uterine fibroids is a minimally invasive, new method of good clinical results.