经桡动脉入路子宫肌瘤栓塞术治疗子宫肌瘤的临床效果

Clinical effect of uterine fibroid embolization through Radial artery approach in treatment of uterine fibroids

目的 探讨经桡动脉入路子宫肌瘤栓塞术在子宫肌瘤中的应用效果。方法 选取92例子宫肌瘤患者为研究对象,按照手术入路分为股动脉组与桡动脉组,各46例。股动脉组采用经股动脉入路子宫肌瘤栓塞术,桡动脉组采用经桡动脉入路子宫肌瘤栓塞术,比较两组的效果。结果 桡动脉组的动脉穿刺用时短于股动脉组,差异有统计学意义(P<0.05);两组动脉穿刺时的VAS评分比较,差异无统计学意义(P>0.05);桡动脉组术后0.5 h、术后6.0 h、术后12.0 h的VAS评分低于股动脉组,差异有统计学意义(P<0.05);两组不同手术入路子宫肌瘤栓塞术患者均无神经损伤,桡动脉组术后穿刺点血肿、出血、尿潴留的发生率低于股动脉组,差异有统计学意义(P<0.05)。结论 经桡动脉入路子宫肌瘤栓塞术穿刺操作简单,可有效缓解子宫肌瘤栓塞术疼痛,改善预后结局,减少术后并发症,手术疗效更佳。

Objective To explore the application effect of uterine fibroid embolization through radial artery approach in the treatment of uterine fibroids.Methods A total of 92 patients with uterine fibroids were selected as the research object,and they were divided into the femoral artery group and the radial artery group according to the surgical approach,with 46 cases in each group.The femoral artery group was treated with uterine fibroid embolization via femoral artery approach,and the radial artery group was treated with uterine fibroid embolization via radial artery approach.The effects of the two groups were compared.Results The time of artery puncture in the radial artery group was shorter than that in the femoral artery group,and the difference was statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups during arterial puncture(P>0.05).The VAS scores of the radial artery group at 0.5 h,6.0 h and 12.0 h after surgery were lower than those of the femoral artery group,and the differences were statistically significant(P<0.05).There was no nerve injury in the two groups after embolization of uterine fibroids through different surgical approaches.The incidence of postoperative puncture point hematoma,bleeding and urinary retention in the radial artery group was lower than that in the femoral artery group,and the difference was statistically significant(P<0.05).Conclusion The radial artery approach for uterine fibroid embolization is simple in puncture operation,which can effectively relieve the pain of uterine fibroid embolization,improve the prognosis,reduce postoperative complications,and have better surgical effect.