子宫动脉栓塞治疗子宫肌瘤伴月经过多的临床研究

Study of superselective uterine arterioembolization in treating uterine myoma for menorrhagia.

目的:回顾分析24例子宫肌瘤伴月经过多患者入介治疗疗效和子官动脉栓塞安全性。方法:选择24例子宫肌瘤伴月经过多患者进行子宫肌瘤供血动脉的栓塞。结果:插管栓塞动脉率100％,随访2年。治疗后1月,24例患者月经均明显减少,B超随访,3个月子宫肌瘤体积平均缩小30％。随访2年,其中2例行腹腔镜下子宫肌瘤经阴道摘除术,6例子宫肌瘤消失,16例子宫肌瘤体积平均缩小80％。结论:子宫肌瘤行介入治疗疗效肯定,对粘膜下子宫肌瘤及子宫肌瘤伴月经过多患者尤为适宜。

Objective; To study the clinical efficacy of superselective uterine arterioembolization in treating uterine myoma formenorrgia. Methods; 24 cases of uterine myomas formemorragia were undergone bilateral arterioembolization of turner feeding vessels. Results; The successful rate of emboligation catheterigation reached 100%, B-bode ultrasound examination revealed the following during 1 months ~2 years after the procedure, together with conspicuous decrease in volume of menstruation; with an average shrinkage of 30% in volume for all cases in the 3 month follow up, complete disappearance of tomor in 6 cases and with an average shrinkage of 80% volumetrically for the orther 16 cases, with the submueous myoma 2 cases for the surgical of vagina. Concisions; Interventional treatment for uterine myoma is definite effectilve especially in submucosal uterine myoma and the myoma of uterus for menorragia.