子宫肌瘤的介入治疗

Interventional treatment of Uterine Neoplasms(report of 20 cases)

目的 :评价真丝微粒选择性栓塞子宫动脉对子宫肌瘤的临床疗效。方法 :采用seldnger技术对 2 0例症状性子宫肌瘤子宫动脉进行永久性栓塞 ,并同时用明胶海绵条双重栓塞。随访 3mon～ 18mon ,平均 6mon。观察术后子宫缩小程度和症状缓解情况。结果 :子宫肌瘤的动脉造影表现为子宫动脉明显增粗 ,分支数量增多 ,纡曲 ,子宫体增大 ,染色明显并排空延迟等。 18例随访者术后 1mon子宫体积平均缩小 39% ,临床症状改善明显。副作用为术后下腹部疼痛。结论 :真丝微粒选择性子宫动脉栓塞为非手术治疗症状性子宫肌瘤 ,是一种取材方便 ,制作容易 ,副作用少的新型永久性栓塞剂。

Objective: To evaluate the clinical effect on the thread in selective uterine artery embolization for treatment of uterine neoplasms.Methods: Using Seldinger's method, 20 cases with symptomatic uterine neoplasms were treated with uterine arteries permanent embolization and gelatinum sponge. The symptoms were improved and uterine size were changed as the results of follow up visit in 3 months～18months(mean 6 months)after the procedure. Results: Superselective angiography showed the enlargement of uterine artery, accompanied by tortuous branches. The uterine size was increased. The uterus itself was significantly stained and emptied slowly. One month after the procedure, 39% reduction of uterine volume was evenly obtained in 18 followed-up cases. The clinical symptoms were relieved signifcantly. The main side effects were hypogastic pain. Conclusion: The silk thread selective uterine argery embolization is cheap, effective,so it is a new permarent embolic agents for the treatment of non-surgical symptomatic uterine neoplasms.