子宫动脉栓塞术治疗子宫腺肌病51例临床分析

Clinical Analysis of Uterus Artery Embolization in Treatment of 51 Cases of Uterine Adenomyosis

目的：探讨子宫动脉栓塞术在子宫腺肌病治疗中的作用，为临床医师处理子宫腺肌病提供依据。方法：回顾性分析2006年6月-2012年4月采用子宫动脉栓塞术治疗的51例子宫腺肌病患者资料，患者平均（36.8±12.5）岁，痛经48例（94.1%），月经量增多合并贫血3例（5.9%），采用右股动脉处插入coriplors导管由髂内动脉到达子宫动脉处，灌注博来霉素15 mg封闭内膜病灶的血管。海藻酸钠微球加盐水栓塞病灶处的细小血管。明胶海绵栓塞子宫动脉主干。随访4个月～6年。结果：痛经缓解率66.67%（32/48）。4例患者术后再次妊娠。保留子宫的患者中，23例复查时子宫有不同程度的缩小，10例子宫大小无明显变化。结论：子宫动脉栓塞术为治疗子宫腺肌病的有效方法，可明显减轻患者痛苦，缓解临床症状及体征，为育龄女性日后妊娠提供机会。

Objective：To investigate the effect of uterine artery embolization in the treatment of uterine adenomyosis , provide the basis for clinical treatment of adenomyosis of uterus. Methods：A retrospective analysis of 51 patients from June 2006 to April 2012 by uterine artery embolization for treatment of uterine adenomyosis,mean age was（36.8±12.5） years old,51 patients were followed up for 4 months to 6 years. Results：The pain relief rate was 66.67% （32/48）. 4 cases were pregnancy patients. Preservation of the uterus of patients ,23 cases of uterine have varying degrees of narrowing ,10 cases of uterine size had no significant change. Conclusions：Uterine artery embolization is a new effective method in treatment of adenomyosis , which can significantly relieve the pain of patients ,relieve the clinical symptoms and signs ,to provide opportunities for women of reproductive age of pregnancy.