探究子宫动脉栓塞术治疗子宫肌瘤的安全性及有效性

To explore the safety and effectiveness of uterine artery embolization in the treatment of hysteromyoma

目的探究子宫动脉栓塞术治疗子宫肌瘤的安全性及有效性。方法选取100例子宫肌瘤患者,按照治疗方法不同分为对照组与研究组,每组50例。对照组采用子宫肌瘤剔除术治疗,研究组采用子宫动脉栓塞术治疗。比较两组各项手术指标、临床疗效、术后并发症发生情况及手术前后生活质量评分。结果研究组手术时间(68.36±9.09)min.住院时间(6.16±1.32)d均明显短于对照组的(84.94±13.41)min、(8.91±1.02)d,术中出血量(259.94±34.58)ml明显少于对照组的(362.36±51.29)ml,差异具有统计学意义(P<0.05)。研究组总有效率为96.00%,明显高于对照组的84.00%,差异具有统计学意义(P<0.05)。研究组术后并发症发生率为4.00%,明显低于对照组的18.00%,差异具有统计学意义(P<0.05)。手术前,两组生活质量评分比较,差异无统计学意义(P>0.05);手术后,两组生活质量评分均高于手术前,且研究组明显高于对照组,差异具有统计学意义(P<0.05)。结论子宫肌瘤患者实施子宫动脉栓塞术进行治疗,可有效改善患者临床症状,且安全性较高,术后可提高患者生活质量,值得临床推广与应用。

Objective To explore the safety and effectiveness of uterine artery embolization in the treatment of hysteromyoma.Methods 100 patients with uterine fibroids were selected and divided into control group and study group according to different treatment methods,50 cases in each group.The control group was treated with myomectomy and the study group was treated with uterine artery embolization.Surgical indicators,clinical efficacy,complications and quality of life score before and after operation were compared between the two groups.Results The operative time(68.36±9.09)min and hospital stay(6.16±1.32)d in the study group were significantly shorter than those in the control group(84.94±13.41)min and(8.91±1.02)d.The intraoperative blood loss(259.94±34.58)ml was significantly lower than that of the control group(362.36±51.29)ml,and the difference was statistically significant(P<0.05).The total effective rate of the study group was 96.00%,which was significantly higher than that of the control group(84.00%),the difference was statistically significant(P<0.05).The complication rate of the study group was 4.00%,which was significantly lower than that of the control group(18.00%),and the difference was statistically significant(P<0.05).Before surgery,there was no significant difference in quality of life scores between the two groups(P>0.05).After surgery,quality of life scores of both groups were higher than before,and the study group was significantly higher than the control group,the difierence was statistically significant(P<0.05).Conclusion Uterine artery embolization can effectively improve the clinical symptoms of patients with hysteromyoma,with high safety.It can improve the quality of life of patients after operation,which is worthy of clinical promotion.