子宫动脉栓塞术治疗子宫肌瘤的疗效观察和安全性分析

Study of clinical efficacy and safety on uterine fibroids patients by uterine arterial embolization therapy

目的分析子宫动脉栓塞术治疗子宫肌瘤的疗效和安全性。方法选择2010年7月~2012年3月我院收治的137例子宫肌瘤患者为研究对象,应用随机数字表法将子宫肌瘤患者分为治疗组和对照组,对照组采用传统激素治疗（61例）,治疗组则在月经来潮干净后1周内采用子宫动脉栓塞术（76例）。随访半年,比较两组患者的临床疗效和安全性。结果治疗组总有效率（89.48%）显著高于对照组（52.46%）,χ2=23.5185,P〈0.01。治疗组失败率与对照组相差不大（χ2=1.5021,P〉0.05）。结论子宫动脉栓塞术与传统激素治疗相比具有高效、微创、恢复时间短等优点。

Objective To investigate the clinical efficacy and safety of uterine fibroids patients by uterine arterial embolization therapy. Methods 137 uterine fibroids patients who were treated in our hospital from Jul 2010 to Mar 2012 were chosen as the research objects,the control group adopted traditional hormone treatment （n=61）,the treatment group adopted uterine artery embolization within a week after menstruation clean （n=76）. Follow-up for half a year, the clinical efficacy and safety of uterine fibroids patients of each group was evaluated. Results The clinical efficacy in the treatment group was higher than that in the control group （89.48% vs 52.46%）, χ2=23.5185,P＆lt;0.01. Operation failure rate had no different between the treatment group and control group （χ2=1.5021,P＆gt;0.05）. Conclusion Compared with the traditional hormone therapy,the clinical efficacy of uterine fibroids patients by uterine arterial embolization therapy is effective, minimally invasive, short recovery time.