摘要
目的探讨内在性子宫内膜异位症的介入治疗效果。方法采用Seldinger技术，对34例内在性子宫内膜异位症患者行双侧子宫动脉栓塞术，术后观察患者月经量、痛经程度、贫血、子宫及病灶体积的变化情况。结果随访1～3年，术后月经量较术前平均减少59．1％（P〈O．05），痛经症状明显缓解28例（82．4％，28／34）。所有贫血病例血红蛋白恢复至正常；子宫体积较术前平均缩小43．8％（P〈0．05），病灶明显缩小或消失。超声检查显示子宫肌层及病灶血流信号明显减少。结论内在性子宫内膜异位症的介入治疗效果优良，症状改善显著。
Objective To explore the curative effect in the patients with internal endometriosis by interventional therapy. Methods Using Seldinger technique, 34 cases with internal endometriosis wereperformed bilateral uterine artery embalization. Observed postoperative menstrual quantity, dysmenorrhea degree, anemia and the change of the volume of uterine lesions. Results All the patients were followed up for 1-3 years, menstrual quantity average decreased of 59.1% （P 〈 0.05 ）, the symptoms of dysmenorrhea was significantly eased in 28 cases （82.4%, 28/34）. All the patients of anemia haemoglobin were back to normal, volume of uterus average reduced 43.8%（P 〈 0.05）, lesion was obviously smaller or disappear. Ultrasonography showed myometrium and blood flow signal of lesion was obviously reduced. Conclusion Internal endometriosis by interventional therapy can get good results, symptoms improve significantly.
出处
《中国医师进修杂志》
2012年第3期8-10,共3页
Chinese Journal of Postgraduates of Medicine
关键词
子宫内膜异位症
栓塞
胆固醇
介入治疗
Endometriosis
Embolism,cholesterol
Interventional therapy
