明胶海绵栓塞治疗子宫肌瘤43例疗效分析

The curative effect gelatin sponge embolotherapy for hysteromyoma

目的探讨明胶海绵作为栓塞剂在选择性子宫动脉栓塞术治疗子宫肌瘤中的临床价值。方法采用超选择双侧子宫动脉插管,自制明胶海绵颗粒,抗菌素浸泡后栓塞子宫动脉。结果43例患者经血量均减少,贫血改善,3至6个月临床症状消失,1年后有4例患者复发,无严重并发症发生。结论明胶海绵栓塞双侧子宫动脉治疗子宫肌瘤简便、经济,创伤小,保全子宫及其功能,但有复发率。

objective To approach the clinic value of selective uterine arterial embolism with gelatin sponge to treat hysteromyoma. Methods Superselective uterine arterial embolization with gelatin sponge were done. Results Menstrual bleeding decrease in all cases,anaemia amelioration was achieved,the clinical symptom disappeared in 3 to 6 month,4 case palindromia after 1 year,no severe complications occurred. Conclusion Superselective uterine arterial embolization with gelatin sponge is convenient,economy and minimal invasive,to assure the hysteria and its function,but have recurrence rate.