选择性子宫动脉栓塞治疗子宫肌瘤的临床研究

Selective artery embolization for treatment of uterine myoma

目的 研究用选择性子宫动脉栓塞治疗子宫肌瘤的临床效果。方法 采用Seldinger方法作选择性子宫动脉栓塞治疗 15例子宫肌瘤患者。经股动脉穿刺 ,将导管选择性进入双侧子宫动脉 ,经导管注入真丝线段和明胶海绵 ,阻断肌瘤血供。结果 经血管造影发现 ,子宫肌瘤血供丰富 ,均由双侧子宫动脉供血 ,栓塞双侧子宫动脉后 ,子宫肌瘤血供可完全阻断 ,治疗后 6个月的随访结果表明 :月经量及月经周期恢复正常 ,疼痛明显改善 ,肌瘤和子宫体积明显缩小。临床有效率达 86 .6 7%。结论 选择性子宫动脉栓塞治疗子宫肌瘤是一种创伤小 。

Objective To assess the clinical effects of selective embolization of uterine arteries in the treatment of uterine myomata. Methods 15 cases with symtomatic uterine myomata were treated by Seldinger's selective uterine arteries embolization. After a percutaneous femoral arterial puncture, an artery catheter was selectively inserted into bilateral uterine arteries. The insertion silk of fragments and gelform were introduced through catheter to occlude the blood supply of myoma. Results Arteriography showed that most uterine myomata were supplied by bilateral uterine arteries. When both uterine arteries were embolized, the blood supply of uterine myoma could be occluded. With a mean follow up of 6 months the menorrhagia and menstrual cycles returned to normal and, pain resolved. Conclusions Selective uterine artery embolization is a new method for treatment of uterine myomata with less trauma.