子宫肌瘤介入治疗的临床疗效分析

The clinical curative effect analysis of interventional therapy for fibroid

目的探讨介入治疗子宫肌瘤的临床疗效,评价其临床应用效果,为今后临床治疗提供参考和借鉴。方法回顾性分析我院2016年3月-2019年3月收治的29例子宫肌瘤患者的临床资料,所有患者均行X射线引导下子宫动脉栓塞术(UAE),观察并记录患者治疗前后子宫及肌瘤体积、月经、激素水平、治疗后并发症等情况。结果治疗后每间隔3个月复查1次,连续复查3次,显示患者治疗后子宫体积、子宫肌瘤体积均较治疗前缩小,差异具有统计学意义(P<0.05);治疗后月经周期、月经量、经期时间均较治疗前改善,差异具有统计学意义(P<0.05);治疗后LH、E2、FSH指标均较治疗前变化不明显,差异无统计学意义(P>0.05);术后留观期间出现下腹疼痛2例,穿刺处血肿、恶心呕吐各1例,对症处理后,上述并发症消除,未出现高热、感染等严重病症。消除,未出现高热、感染等严重病症。消除,未出现高热、感染等严重病症。结论子宫肌瘤的介入治疗能有效缩小肌瘤体积,明显改善病人生活质量,具有损伤小、恢复快、保全子宫等优势,值得临床进一步推广应用。

Objective To explore the clinical curative effect of interventional treatment of fibroids,evaluate its clinical application effect and provide a reference for future clinical treatment.Methods This study retrospectively analyzed the clinical data of 29 fibroid cases who admitted in our hospital from March 2016 to March 2019.All patients were performed Xray guided uterine artery embolization(UAE).The study observed and recorded the volume of uterine and fibroid,menstruation,hormone levels,the post-operative complications etc.before and after the treatment.Results Patients were reexamined once every three months after the treatment,three times in a row.It was found that the patients’postoperative uterine volume and fibroid volume were significantly smaller than preoperative volume(P<0.05),and the difference was statistically significant.The postoperative menstrual cycle,menstruation,menstruation time were significantly improved(P<0.05),and the difference was statistically significant.The postoperative LH,E2,FSH levels had no significant change(P>0.05),and the difference was not statistically significant.There were two abdominal pain cases,one hematoma case and one vomite case during the postoperative observation period.These symptoms disappeared after the symptomatic treatment,and no serious symptoms such as high fever and pelvic infection occurred.Conclusion Interventional therapy of fibroids can effectively reduce the size of fibroids,significantly improve the quality of life of patients,with small damage,rapid recovery,preservation of the uterus and other advantages,which is worthy of further clinical application and promotion.