子宫肌瘤介入治疗临床疗效观察(附21例报告)

Curative effect of transcatheter uterine artery embolization in the treatment of fibromyoma(a report of 21 cases)

目的 评价运用无水乙醇双侧子宫动脉栓塞术治疗子宫肌瘤的临床疗效。方法2 1例子宫肌瘤患者均采用经皮股动脉穿刺双侧子宫动脉插管 ,其中超选择至双侧子宫动脉远段16例 ,单侧 3例 ,用无水乙醇栓塞 ;另 2例在子宫动脉近端用明胶海绵条栓塞。结果 所有病例随访3～ 6 4个月 (平均 2 5个月 ) ,19例无水乙醇栓塞病例 ,其中 15例临床症状消失 ,4例明显改善 ;2例明胶海绵条栓塞病例 ,2个月及 5个月后临床症状有所复发。B超示瘤体体积缩小 40 %～ 90 %。无一例严重并发症发生。结论 子宫肌瘤的介入治疗是一种安全、有效的治疗方法 ,尚需进一步观察远期疗效。

Objective To evaluate the clinical effect of transcatheter ethanol embolization of bilateral uterine artery as a treatment for fibromyoma. Methods Twenty one women with uterine fibromyoma underwent femoral artery puncture and transcatheter uterine artery embolization. Free flow bilateral artery embolization with ethanol were performed on 16 cases, three women undergoing unilateral embolization, and gelatin sponge were used in 2 cases. Results All cases were observed with a follow up of 3 to 64 months (mean 25 months) after the treatment. Nineteen women infused with ethanol were reported noticeable symptomatic improvement, including fifteen women with complete resolution of symptoms. Two women embolized with sponge exhibited clinical response at 2 and 5 months after the procedure, respectively. The marked diminution of tumor size (40%-90%) was sonographically demonstrated. No severe complications were discovered in all 21 cases. Conclusion Uterine artery embolization represented a promising new method of treating fibroids. It had safe and good clinical results. Further investigation would be required to assess its long term effect.