子宫肌瘤栓塞术初步临床报告

Uterine fibroid embolization: A clinical report

目的 :评价子宫肌瘤栓塞术的临床应用价值。 方法 :对 73例症状性子宫肌瘤患者进行选择性双侧子宫动脉插管造影检查后 ,分别行栓塞术。结果 :子宫肌瘤均表现为双侧子宫动脉供血 ,并行一次性双侧栓塞。术后不良反应主要有缺血性盆腔疼痛、发热和消化道反应等 ,对症治疗后缓解 ,无严重并发症。术后第 6个月 ,60例月经异常者有 5 9例缓解 ,13例压迫症状者均缓解 ;肌瘤平均最大半径由 ( 3 0 .5 4± 8) mm缩小至 ( 2 1.3 0± 5 .90 ) m m,体积缩小率 66.0 7%。结论 :子宫肌瘤栓塞术安全 。

Objective: To evaluate the effectiveness and safety of selective embolization of the uterine arteries in the management of symptomatic uterine fibroid. Methods: Embolization was performed on 73 consecutive patients with symptomatic uterine fibroid after selective catheterization of the uterine arteries was carried out. Results: All fibroids were supplied by bilateral uterine arteries and received a technically successful embolization. Pelvic pain, fever and gastrointestinal symptoms occured in some cases and were controlled completely. No severe complications occured. At follow up of 6 months, menstruation resumed in 59 of 60 cases, bulk related pelvic pressure was improved in other 13 cases.The median radial of fibroids decreased from (30.54±8.40) mm to (21.30±5.90) mm, and the volume reduction was 66.07%.Conclusion: Uterine fibroid embolization is a safe and minimally invasive technique with satisfactory efficacy.