子宫动脉栓塞术治疗子宫肌瘤的疗效评价

The efficacy of uterine artery embolization for treatment of uterine fibroids

目的：探讨子宫动脉栓塞术治疗子宫肌瘤的疗效。方法自2010年1月-2013年8月，我科共对19例子宫肌瘤患者进行了子宫动脉栓塞术，年龄35-52岁，平均年龄42岁。症状包括经期延长、月经量增多、尿频等。采用改良Seldinger技术穿刺股动脉后，分别行两侧子宫动脉栓塞。术后随访6个月，观察治疗效果及并发症。结果19例患者均成功行双侧子宫动脉栓塞，技术成功率100％，所有患者临床症状均得到改善，其中2例因子宫肌瘤导致不孕的患者，术后怀孕。术后大多数患者出现下腹痛、发热、阴道不规则流血等症状，无子宫坏死、子宫积脓等严重并发症发生。结论介入治疗对子宫肌瘤患者是一种安全、有效的方法。

Objective To evaluate the efficacy of uterine artery embolization for treatment of uterine fibroids .Methods From January 2010 to August 2013,we completed a total of 19 cases of uterine artery embolization for uterine fibroids patients,aged 35 - 52 years old,with an average of 42 years old.Symptoms included prolonged menstruation,menorrhagia, frequency of micturition,etc.Using modified Seldinger technique in femoral artery puncture,we performed bilateral uterine artery embolization.Patients were followed up for six month.We observed the therapeutic effect and complications.Results All of the 19 patients successfully underwent bilateral uterine artery embolization,the success rate was 100%.The clinical symptoms of all patients were improved.Among the 2 cases of infertility with uterine fibroids,the patients were pregnant after operations.Most patients had lower abdominal pain,fever,irregular vaginal bleeding and other symptoms.Serious complications,such as uterine empyema,uterine necrosis didn’ t occur.Conclusion Interventional treatment of uterine fibroids is safe and effective.