子宫动脉栓塞术治疗子宫腺肌病

Uterine artery embolization for adenomyosis

目的：探讨子宫动脉栓塞术治疗子宫腺肌病的临床效果。方法回顾性分析濮阳市人民医院2013年3月至2014年3月收治的102例子宫腺肌病患者的临床资料，比较患者手术前后子宫大小、月经量、痛经程度以及术后并发症等情况。结果经治疗后痛经症状恢复正常75例，显著缓解18例，无缓解9例。与治疗前相比，治疗后患者月经量、子宫病灶大小及痛经程度评分均明显减少，治疗前后比较差异有统计学意义（ P＜0.05）；所有患者术后均发生不同程度的不良反应，给予对症治疗和处理后，不良反应均消失。结论子宫动脉栓塞术在治疗子宫腺肌病方面临床效果较好，且避免了因剖腹手术而发生的腹腔粘连以及降低了术后发生并发症的风险，而且完整保留了患者子宫及其生育能力，明显提高了患者术后生活质量，因此该方法安全可靠，值得在临床推广应用。

Objective To intestigate the clinical effects of uterine artery embolization on adenomyosis .Methods Clinical data of 102 patients with uterine adenomyosis of our hospital from March 2013 to March 2014 were retrospectively analyzed.Compare undergoing uterine size, degree of dysmenorrhea and menstrual flow and postoperative psychosis situation befone and after treatment.Results After treatment, the symptoms of dysmenorrhea returned to normal in 75 patients.significantly relieve the symptoms of dysmenorrhea in18 patients, symptoms of dysmenorrhea without remission in 9 patients.Compared with before treatment, the menstrual flow, dysmenorrhea, uterine size and extent of the lesion scores after treatment were significantly reduced, the difference before and after treatment was significant（P〈0.05）.All patients had varying degrees of adverse reactions, given symptomatic treatment and treatment, adverse reactions disappeared.Conclusions Uterine artery embolization in the treatment of adenomyosis has good clinical results and avoid the peritoneal adhesions occur due to laparotomy and reduces the risk of postoperative complications, and also retain the integrity of the female uterus and fertility, so significantly improve the prognosis of the quality of life of patients.This method is safe and reliable, is worthy of clinical application.