卵巢动脉栓塞对子宫疾病介入治疗的意义

Clinical significance of ovarian artery embolization in interventional treatment of uterine diseases

子宫动脉栓塞术(UAE)或髂内动脉栓塞术(IIAE)具有安全有效、微创、能够保留子宫及生育功能等优点,近年来已成为子宫疾病治疗的一线方法。卵巢动脉(OA)参与子宫病变供血发生率高,是单纯 UAE 或 IIAE 治疗后子宫肌瘤复发或再次子宫出血的原因之一。子宫疾病介入手术中发现 OA 参与病变供血,UAE 联合卵巢动脉栓塞术(OAE)是有意义的,不会增加卵巢功能衰竭发生率,但需要大样本前瞻性对照研究证明具体意义。为避免卵巢功能衰竭,OAE 术时应尽可能作单侧栓塞和远端栓塞。

Both uterine artery embolization (UAE) and internal iliac artery embolization (IIAE) have the advantages of reliable safety, high effectiveness, minimal invasion, and effective preservation of uterine and reproductive functions, etc. In recent years, UAE and IIAE have become a first- line treatment for the uterine diseases. The incidence of ovarian artery (OA) participating in the blood supply of uterine lesions is very high, which is one of the causes of uterine leiomyoma recurrence and recurrent uterine bleeding after UAE or IIAE treatment. If OA is found to be involved in the blood supply of uterine lesions during interventional procedure, UAE combined with ovarian artery embolization (OAE) is a valuable therapy, which, as far as current clinical knowledge is concerned, will not increase the incidence of ovarian failure, although prospective controlled studies with large sample are needed to prove this view. In order to avoid ovarian failure, unilateral embolization and distal embolization should be performed as far as possible during OAE.