子宫动脉栓塞治疗子宫肌瘤的临床研究

Clincal reasearch of Uterine artery embolization in the treatment of hysteromyoma

目的:探讨子宫动脉栓塞术(UAE)对子宫肌瘤的治疗效果,同时对相关并发症的防治,并对影响疗效的因素进行分析。方法:选择2005年9月～2008年3月在东莞市东城医院就诊的50例确诊为子宫肌瘤的患者,采用赛丁格Seldinger技术,行双侧子宫动脉栓塞治疗,术后3、6个月观察瘤体缩小的情况及临床症状改善情况。结果:与术前比较子宫肌瘤的体积均有不同程度的缩小,术后3个月总有效率为88%,术后6个月总有效率为96%。50例患者临床症状均有不同程度改善,无严重并发症。结论:选择栓塞子宫动脉治疗子宫肌瘤,创伤小,恢复快,临床症状改善明显,是子宫肌瘤治疗的有效方法。

Ohjective： To evaluate the effect of uterine artery embolization （UAE） in the treatment of hysteromyoma, while analysed on the prevention and treatment related complications and influences on curative effect. Methods： 50 patients with hysteromyoma who diagnosed in dongcheng hospital from september 2005 to march 2008,were using of race dingle seldinger technique and bilateral uterine artery embolization treatment, after 3 to 6 months to observe the situation of tumor body to reduce and clinical symptoms was improved. Results： Compared with preoperative,the size of uterine fibroids had varying degrees of narrowing, after 3 months the total effective rate was 88%,after 6 months was 96%.The clinical symptoms of 50 patients was improved and no serious complications. Conelusion： Uterine artery embolization to treat uterine fibroids, little trauma and rapid recovery,the clinical symptoms improved significantly,and it is an effective way to treat with hysteromyoma.