子宫动脉栓塞术治疗子宫肌瘤的疗效观察

Clinical efficacy of uterine artery embolization in uterine fibroids

目的探讨子宫动脉栓塞术(UAE)治疗子宫肌瘤的临床疗效。方法对81例经B超、临床诊断的子宫肌瘤患者,以Seldinger’s技术超选择插管至双侧子宫动脉上行支,经DSA证实后,即施行UAE,栓塞剂选择平阳霉素乳剂(PLE)+明胶海绵颗粒(GS),分别于术后3、6、12个月进行彩超复查,观察疗效。结果 UAE后91.4%(74/81)病例临床症状缓解,92.6%(75/81)患者月经恢复正常。术后3、6、12个月复查,肌瘤缩小率分别为35%、55%、75%。结论子宫动脉栓塞术能有效地缩小肌瘤体积,并明显改善临床症状,是一种疗效显著的微创技术,对子宫肌瘤的治疗具有重要的临床应用价值。

Objective To explore the clinical efficacy of uterine artery embolization（UAE） in uterine fibroids.Methods 81 patients with uterine fibroids were super selective bilateral uterine artery to the ascending branch arteries down to Seldinger＇s technique.In the DSA,the cases were line UAE,the embolic agent（Bleomycin emulsion,PLE ＋ gelatin sponge,GS）.Respectively,3 months,6 months,12 months after treatment,ultrasound review effects were observed.Results After UAE,approximately 91.4%（74/81） cases of clinical symptoms and 92.6%（75/81） of patients resumed normal menstruation.3 months,6 months and 12 months after treatment,fibroids shrink rates were 35%,55% and 75%.Conclusion UAE can reduce the volume of fibroids and significantly improve clinical symptoms,which is a significant effect of minimally invasive techniques with significant value in the treatment of uterine fibroids.