超选择性子宫动脉上行支栓塞术治疗子宫肌瘤的疗效及安全性

Application of selective ascending branches of uterine artery embolization for the treatment of symptomatic uterine leiomyomas

目的探讨超选择性子宫动脉上行支栓塞术治疗子宫肌瘤的疗效及安全性。方法2011年11月至2013年11月间就诊的43例子宫肌瘤患者行子宫动脉上行支栓塞术,通过选择性双侧或单侧子宫动脉上行支插管,以500~710μm的聚乙烯醇微粒栓塞子宫动脉上行支。随访6~24个月。结果栓塞成功率为100%,无严重并发症。随访发现所有患者月经恢复正常,术后6个月肌瘤平均缩小50%~70%。结论子宫肌瘤行超选择性子宫动脉上行支栓塞治疗的创伤小,安全有效,值得推广。

Objective To investigate the efficacy and safety about ascending branches of uterine arteryembolization for the treatment of symptomatic uterineleiomyomas.Methods During the period of November 2011 to November 2013 ascending branches of uterine artery embolization was performed in 43 patients with symptomatic uterineleiomyomas in the Fourth Hospital of Qinhuangdao City.The bilateral or unilateral ascending branches of uterine arteries were embolized with polyvinylalcohol particles diameter 500 ~710 μm.The patients were followed up for 6 ~ 24 months.Results The technical success rate of bilateral or unilateralascending branches of uterine artery embolization was 100%.No serious complication occurred.During the followed up period,menses returned to rugular cycle in all patients.The sizes of uterine leiomyomas were decreased by 50% ~ 70% after 6 months of proceddure.Conclusion Ascending branches of uterine artery embolization for the treatment of symptomatic uterine leiomyomas is an effective and less-invasive treatment.The technique is safe,good-efficacy,and worthy of promotion.