子宫动脉栓塞术治疗子宫肌瘤的疗效观察

The Curative Effect of Trancatheter Uterine Artery Embolization for Uterine Myoma

目的 探讨子宫动脉栓塞术 (UAE)治疗子宫肌瘤的临床疗效。 方法 以 Seldinger's法对 30例子宫肌瘤患者行单侧股动脉穿刺 ,将 5F Cobra导管进入双侧子宫动脉 ,经导管注入头孢曲松钠、超液化碘油和平阳霉素的混合剂及明胶海绵行栓塞。 结果 经血液造影发现 ,栓塞前子宫肌瘤供血丰富 ,栓塞双侧子宫动脉后 ,子宫肌瘤血供完全阻断 ,治疗后 6个月的随访结果表明 :患者临床症状明显缓解 ,月经量减少至恢复正常 ,疼痛明显改善 ,肌瘤和子宫体积明显缩小。临床有效率达 86.67%。 结论 UAE是目前治疗子宫肌瘤的一个切实、有效。

Objective To assess the clinical effects and side effects of uterine artercial embolization(UAE)on uterine myoma. Methods Thirty cases of uterine myomas were treated by UAE using lipiodol-pingyangmycin emulsion. The 5 F clobra catheters were inserted into the uterine arteries for treatment. All patients were followed up for 12 monthes after UAE. Result Atreriography showed that uterine myoma was mainly supplied by uterine arteries and partly by ovarian arteries. All clinical symptoms of 30 patients were retrieved. Menorrhagia was reduced and return to normal.The volume of uterine myoma and uterine decreased. The general effective rate is 86.67%; Conclusion UAE is an effective treatment for uterine myoma with little injury.