摘要
目的:探讨超声影像检查在子宫动脉栓塞(UAE)治疗子宫肌瘤疗效观察中的价值。方法:对78例经子宫动脉栓塞治疗的子宫肌瘤患者进行术前及术后超声检查。结果:①UAE术后,肌瘤平均体积明显缩小,血流信号消失。3年后,肌瘤平均体积缩小71.0%;②2例(2.5%)肌瘤在长期随访中可见血流的再通;③聚乙烯醇(PVA)颗粒和海藻酸钠微球(KMG)的栓塞效果无明显差异。结论UAE治疗子宫肌瘤具有较好的疗效,超声影像检查是评价UAE效果及术后长期随访的有效方法。
Objective: To explore the clinical value of ultrasound in assessing the therapeutic effect of uterine arterial embolization (UAE) in hysteromyoma. Methods: 78 patients with hysteromyoma were examined by ultrasound before and after UAE. Results: (1)After UAE, the mean volume of tiysteromyoma decreased significantly, and the blood perfusion disappeared. Follow - up ultrasonic examination showed an average reduction of 71% in dominant hysteromyoma volume after 3 years. (2)Blood reappearance was found in 2 patients (2. 5% ) . (3)There was no significant difference in the effect between polyvinyl alcohol (PVA) and sodium alginate (KMG) . Conclusion: UAE is an efficient therapy of hysteromyoma, and color Doppler ultrasound is a very useful tool to assess the therapeutic effect of UAE in hysteromyoma.
出处
《中国妇幼保健》
CAS
北大核心
2009年第21期3016-3018,共3页
Maternal and Child Health Care of China
关键词
子宫动脉栓塞
子宫肌瘤
超声
Uterine arterial embolization
Hysteromyoma
Ultrasound