经皮子宫动脉栓塞术治疗子宫肌瘤

Application of Percutaneous Transcatheter Arterial Embolization Treated Leiomyoma

目的 :用手术丝线 +明胶海绵对有症状子宫肌瘤进行栓塞 ,探讨其可行性。方法 :经股动脉穿刺插管 ,于双侧子宫动脉远端注入手术丝线段长约 1mm ,明胶海绵颗粒 1mm栓塞子宫动脉共 16例 ,观察术中术后并发症并于 3- 6月随访。结果 :16例手术成功 ,经 3 - 6个月随访 16例患者均有经量减少 ,10例患者腹痛消失 ,B超复查肌瘤体积均有缩小。压迫症状改善 3例 ,子宫体缩小 16例。无严重并发症。结论 :经皮双侧子宫动脉栓塞术治疗的子宫肌瘤 ,是一种安全有效的治疗方法之一。

Objective To discuss the feasibility of uterine artery embolism in therapy of symptomatic leiomyoma. Methods Puncturing femoralis artery and injecting pieces of thread (length:1mm) and GF pellets (diameter:1mm) to embolize both of uterine artery totaled 16 cases. Postoperation complication had been observed for 3-6 months. Results Menorrhagia is controlled (16 cases). B modulation indicate tumor shrinked. Vterine is shrinked (16 cases). Abdominal pain is eliminated (10 cases) Constriction is relieved (3 cases). No severe complication was observed. Conclusion Percutaneous transcatheter arterial embolization is one of effective and securable methods in therapy of symptomatic leiomyoma.