子宫肌瘤的经导管栓塞治疗

Transcatheter uterine arterial embolization in the treatment of uterine fibroids

目的 评价子宫动脉栓塞 (UAE)治疗子宫肌瘤的临床疗效。 方法 对 12例子宫肌瘤患者进行双侧子宫动脉栓塞。随访复查瘤体大小、症状及并发症情况。 结果 本组 12例经UAE治疗后观察 ,第 1个月瘤体缩小最小 2 3% ,最大 5 3% ,平均 43.5 % ;3个月平均缩小 5 6 .2 % ;6个月平均缩小6 3.4% ,但无 1例消失。 结论 子宫肌瘤的动脉栓塞是一种有效的非手术治疗方法 ,特别对想保留子宫的青年妇女或不愿手术者 ,该方法是一种较好的选择。

Objective To evaluate clinical effectiveness of uterine arterial embolization in the treatment of uterine fibroids. Methods 12 patients with uterine fibroids were treated by bilateral uterine arterial embolization. The size, symptoms and complications of uterine fibroids were examined in follow-up. Results After one month,the size of uterine fibroids was reduced 23% at least,53% at most (the average was 43.5%). After three months,average reduction was 56.2%.After six month,average reduction was 63.4%.But no one had the effectiveness of disappearance. Conclusions The uterine arterial embolization is an useful method of tereatment without operating,especially for the young ladies who want to keep uterine or unwilling to be operated.