动脉栓塞术在妇科难治性疾病中的临床应用效果

Clinical application effect of arterial embolization in gynecological refractory diseases

目的评价动脉栓塞术在妇科难治性疾病中的临床应用效果。方法回顾性分析2013年1月~2018年10月我院收治的42例妇科难治性良性及恶性肿瘤患者的临床资料,根据治疗方法的不同将其分为研究组(21例)与对照组(21例)。研究组患者采用动脉栓塞术治疗,对照组患者采用传统方法治疗。比较两组患者治疗后的月经量、痛经程度、子宫体积、CA125水平、止血时间及并发症发生情况。结果研究组患者在月经量减少、子宫体积缩小、痛经评分下降、CA125水平下降及止血时间方面均优于对照组,差异有统计学意义(P<0.05)。研究组患者的并发症总发生率为19.0%,明显低于对照组的66.7%,差异有统计学意义(P<0.05)。结论动脉栓塞术为妇科难治性良恶性疾病提供了一个安全有效的治疗选择。

Objective To evaluate the clinical application effect of arterial embolization in gynecological refractory diseases.Methods The clinical data of 42 patients with gynecological refractory benign and malignant tumors admitted to our hospital from January 2013 to October 2018 were retrospectively analyzed.According to different treatment methods,they were divided into study group (21 cases) and control group (21 cases).Patients in the study group were treated with arterial embolization,and patients in the control group were treated with conventional methods.The menstrual volume,dysmenorrhea,uterine volume,CA125 level,hemostasis time and the incidence of complications were compared between the two groups.Results Patients in the study group were superior to those in the control group in terms of decreased menstrual volume,uterine volume reduction,decreased dysmenorrhea score,decreased CA125 level and hemostasis time,with statistically significant differences (P<0.05).The total incidence rate of complications in the study group was 19.0%,which was significantly lower than that in the control group (66.7%),and the difference was statistically significant (P<0.05).Conclusion The arterial embolization provides a safe and effective treatment option for gynecologic refractory benign and malignant diseases.