子宫动脉栓塞术治疗子宫肌瘤的疗效分析

Clinical analysis of uterine myoma by uterine arterial embolization

目的:探讨介入治疗对子宫肌瘤的治疗效果。方法:17例患者均采用Seldinger技术穿刺股动脉,超选择双侧子宫动脉经动脉造影证实后行双侧子宫动脉栓塞治疗。结果:术后所有病例瘤体均于1～9个月内进行性缩小,其中3例瘤体完全消失;所有患者月经量过多、贫血、下腹坠痛及膀胱压迫等临床症状显著改善,甚至完全消失,2例术后闭经;所有病例未出现严重并发症。结论:双侧子宫动脉栓塞术是子宫肌瘤安全有效的治疗手段。

Objective：To discuss the therapeutic efficacy of interventional therapy on uterine myoma. Methods：U- terine arterial embolization was performed in 17 patients with uterine myoma by the Seldinger technique. Bilateral u- terine artery embolization management was carried out in patients confirmed by superselective bilateral uterine artery via arteriography. Results ：The size of all patients uterus and myomata progressive decreased between 1 ~ 9 months postoperatively. The myomata of 3 patients disappeared completely. All clinical symptoms of 17 patients were relieved or disappeared completely such as menorrhagia,anemia ,lower abdomen pain,bladder oppressing,etc. 2 patients were amenorrhea postoperatively. In the course of the therapy,no severe complications appeared. Conclusion：Uterine arteri- al embolization is an effective and safe therapy in uterine myoma.