子宫动脉栓塞治疗子宫腺肌病80例疗效分析

Uterine arterial embolization for the treatment of adenomyosis:an analysis of therapeutic results in 80 casesHealth

目的探讨子宫动脉栓塞术治疗子宫腺肌病的临床疗效。方法对80例子宫腺肌病患者行子宫动脉栓塞术。术后随访3、6、12、24个月观察患者痛经程度变化,月经量及子宫体积变化。结果子宫动脉栓塞术后,80例患者临床症状全部缓解,月经量明显减少,贫血改善;子宫体积和病灶体积均明显缩小;卵巢内分泌功能无明显影响。其中76例术后1个月痛经症状完全消失,4例术后4个月痛经症状完全消失。结论子宫动脉栓塞术是一种微创、安全、不良反应少的治疗方法,临床疗效显著,能明显改善患者生活质量。

Objective To discuss the therapeutic effect of uterine arterial embolization in treating adenomyosis.Methods Uterine arterial embolization was performed in 80 patients with adenomyosis.The patients were followed up for 3,6,12 and 24 months after the operation.After the treatment the degree of dysmenorrhea,the menstrual flow and the uterine volume were observed and were compared with those before the treatment.Results After uterine arterial embolization the clinical symptoms were relieved in all 80 patients.The menstrual flow was markedly decreased,the anemia was obviously improved and the uterine volume was significantly reduced,while the ovary functioning was not apparently affected.The symptom of dysmenorrhea completely disappeared one month after the therapy in 76 cases and four months after the therapy in the remaining 4 cases.Conclusion Uterine arterial embolization is a mini-invasive and safe therapy with remarkable therapeutic results and few side-effects.Therefore,this treatment can significantly improve the patient’s living quality.