介入栓塞治疗子宫肌瘤

目的探讨栓塞治疗子宫肌瘤的临床价值。方法对7例子宫肌瘤患者，经皮穿刺动脉，超选择插入双侧子宫动脉，注入栓塞剂。结果7例中成功插入子宫动脉15支，1例1支超选择失败，行左侧髂内动脉拴塞，随访2—14个月，临床症状消失，血色素上升，B超复查：所有病例肌瘤体积缩小50％-消失。结论介入栓塞治疗子宫肌瘤，特别是超选择插入双侧子宫动脉行栓塞治疗，是十分有效的，且安全，简便。

Objective to evaluate the clinical value of uterine artery embolization.Methods by the percutaneous puncture of arteries and superselective insertion bilateral uterine artery with injecting embolism agent at the 7 patients of uterine fibroids. Results In the 7 cases, we have been successful to insert 13 uterine arteryies, but one of them has failed with the superselection and lined in the left iliac artery embolism. After the follow-up of 2-14 months,all the patients＇ clinical symptoms had disappeared and their hemoglobin had rosed. The results of their B ultrasound repeated check show that the fibroid volume had decreased 50% to disappear of all the patients. Conclusions Interventional embolization of uterine fibroids, especially in the superselective insertion bilateral uterine artery embolization, are very effective,safe and simple.