子宫动脉栓塞术在子宫腺肌病方面的临床疗效和应用价值

The Applicationg Value and Clinical Curative Effect of Uterine Arterial Embolization in Treatment of Uterine Gland

目的探讨子宫动脉栓塞术在子宫腺肌病方面的临床疗效和应用价值。方法对45例根据临床症状及B超确诊为子宫腺肌病的患者行子宫动脉栓塞术（UAE）治疗,术后观察其痛经程度、月经量及子宫体积变化。结果 45例患者共接受45次UAE治疗,全部行双侧子宫动脉栓塞治疗,治疗成功率100%。术后随访6-24个月,无1例并发症发生;40例术后痛经完全消失,5例缓解;彩色超声检查子宫体积缩小。结论子宫动脉栓塞术治疗子宫腺肌病因其创伤小、安全性好及并发症少等优点,为本病的治疗开辟了一个新的微创治疗途径。

Objective To investigate the clinical effect and application value of uterine artery embolization in the treatment of uterine gland disease.Methods 45 patients were treated with uterine artery embolization,and the changes of the degree of dysmenorrhea,menstrual volume and uterine volume were observed after operation.Results 45 patients received 45 UAE treatment,all patients underwent bilateral uterine artery embolization,the success rate of embolization was 100%.The patients were followed up for 6 to 24 months,no complications occurred in 40 cases,1 cases of dysmenorrhea disappeared completely,5 cases were relieved obviously,the volume of uterine volume was significantly decreased.Conclusion Uterine artery embolization for treatment of uterine gland muscle has the advantages of less trauma,good safety and less complications.It has opened up a new minimally invasive treatment for the treatment of this disease.