超选择子宫动脉栓塞治疗滋养细胞肿瘤引起的子宫出血

Superselective Uterine Arterial Embolism Treat Uterine Bleeding Caused by Gestational Trophoblastic Tumor.

目的:总结和探讨子宫动脉栓塞治疗滋养细胞肿瘤引起的子宫出血的疗效及意义。方法:采用Seldinger's技术,对2例由绒癌引起的子宫出血行超选择子宫动脉栓塞治疗。结果:经栓塞治疗后子宫出血迅速减少,甚至停止,无并发症发生。结论:超选择子宫动脉栓塞治疗安全、可靠,在准确做出病因诊断的同时进行治疗。对由滋养细胞肿瘤引起的子宫出血(尤其是年轻女性),可作为首选治疗方法,保留患者的生育功能。

Objective: To evaluate the curative effect of superselective uterine arterial embolism therapy of uterine bleeding caused by gestational trophoblastic tumor and its clinical significance. Methods: By seldingers technique, the uterine bleeding of 2 patients with choriocarcinoma were treated by superselective uterine arterial embolism. Results;The uterine bleeding of 2 patients were rapidly decreased or stopped, and no complications were found. Conclusion; The therapy of superselective uterine arterial embolism was safe and reliable. It can make pathogenesis diagnosis accurately and treat the diseases. It can be the first selection of therapy of uterine bleeding caused by gestational trophoblastic tumor, because it can remain the uterus which is good for those young patients.