白芨加明胶海绵栓塞治疗子宫肌瘤的临床应用

Selective uterine arterial embolization of uterine myoma

目的 探讨白芨加明胶海绵栓塞治疗子宫肌瘤的临床应用 ,了解此方法的疗效、不良反应及并发症。方法 采用Seldinger技术 ,对 2 1例子宫肌瘤患者进行选择性子宫动脉栓塞。通过动脉导管注入白芨微粒和明胶海绵颗粒 ,阻断肌瘤供血。结果 血管造影发现子宫肌瘤主要由双侧子宫动脉供血 ,血供丰富 ,双侧子宫动脉栓塞后 ,肌瘤部位血管征象消失 ,治疗后 3～ 6个月随访结果表明 :肌瘤比治疗前缩小 38%～ 90 % ,临床症状改善 ,1例因感染而行子宫切除。结论 白芨加明胶海绵栓塞治疗子宫肌瘤近期临床效果好 。

Objective Study the value of clinical application of BaiJi and absorbable Gelatin in embolizing uterine myoma together with its effecty, side effect and complication.Methods 21 women with uterine myoma undergoing selective uterine arterial embolization by Seldinger's technique were studied. After retrograde transfemoral introduction of a 5 french catheter, the uterine arteries were successively catheterized. Bai Ji and absorbable Gelatin sponge particles were injected through free flow until devasculariztion. Results Uterine myoma's blood supply came from bilaterial uterine arteries demonstrated by angiography. All the supplying artering images disappeared after the embolization. 3～6 months follow up study showed: a marked reduction in the size of myomata by 38%～90%. Clinical symptoms were improved. There was one failure cas and then underwent uterotomy due to infection. Conclusions The short term effect of using Bai Ji and absorbable Gelatin for embolizing uterine myoma is clinically significant, while long term effects is still wating for research.