子宫动脉栓塞治疗子宫肌瘤32例分析

Selective Uterine Arteries Embolization for Uterine Leiomyoma in 32 Case

目的:研究子宫动脉栓塞对子宫肌瘤治疗的临床效果。方法:采用Seldinger技术行一侧或双侧股动脉穿刺,选择性双侧子宫动脉造影,了解子宫肌瘤供血情况,用PVA颗粒和明胶海绵栓塞子宫动脉,至主干栓塞。结果:子宫肌瘤供血丰富,双侧供血者29例,其中一侧优势型20例（64.7％）,左右供血均衡型9例（25.9％）,单侧供血者3例占9.4％。治疗后随访1～12个月,结果肌瘤均比治疗前缩小,月经量减少至原来的1/3～2/3,贫血及下腹坠胀症状明显改善,月经周期恢复正常,临床有效率约96.8％。结论:选择性子宫动脉栓塞是一种创伤小、临床效果好的新方法。

:To evaluate the clinical effects of uterine arterial embolization for uterine leiomyoma Methods: Seldinger's selective bilateral uterine arteriography was performed to identify the blood supply of leiomyoma(in 32 women with symptomatic uterine leiomyoma) by unilateral or bilateral femoral artery puncture. PVA particles and gelfoarn were used to embolized uterine artery. Results: Arteriography showed that uterine leiomyoma was sufficiently supplied by both sides of uterine arteries in 29 cases. 20 cases(64.7% )were mostly supplied by one side artery, the other 9 cases(25. 9% )were averagely supplied by both sides of arteries). 3 cases (9. 4%) were supplied by only one side artery. When both uterine arteries were embolized, the blood supply of leiomyoma would be completely stopped. All cases were observed with a follow-up of 1 to 12 months after treatment. All uterine leiomyoma reduced in volume obviously, menorrhagia controlled, menstrual cycles returned to normal, anemia and hypogastric malaise resolved. The total effective rate was about 96.8% .Conclusion: Selective uterine arterial embolization is an effective method to treat uterine leiomyoma with little trauma.