选择性子宫动脉碘油栓塞治疗子宫腺肌病的临床疗效观察

Clinical Effect of Selective Uterine Arterial Lipiodol Embolization in Treating Adenomyosis

目的 探讨用超液态碘油选择性栓塞子宫动脉治疗子宫腺肌病的价值。方法 采用Seldinger’s方法经股动脉穿刺 ,治疗 17例子宫腺肌病患者 ,将导管通过髂内动脉选择性进入子宫动脉 ,注入超液态碘油和明胶海绵条 ,阻断子宫供血。结果 血管造影可见双侧子宫动脉增粗 ,子宫血管走向紊乱 ,呈网格状 ,子宫呈球形增大 ,动脉栓塞后 ,血流中断 ,术后 6个月随访 ,子宫体积平均缩小 2 4 .1% ,76 .4 %患者痛经消失 ,2 3.5 %明显缓解 ,第二个月经周期月经量恢复正常。结论 选择性子宫动脉碘油栓塞治疗子宫腺肌病是一种创伤小 ,临床效果好的新方法。

Objective To investigate the value that lipiodol ultra fluid selective embolization of uterine artery for adenomyosis. Methods Based on Seldinger's way, 17 patients with adenomyosis were treated with embolization of uterine artery through arterial hypogastrica and lipiodol ultra fluid and gelatin sponge were injected for blocking the blood-supply for uterus.Results Before treatment,Uterine arteries on both sides are thicker on angiography, blood turbulence and sizing grip, uterus were roundly enlarged. After embolization, the blood is intermitted to uterus. After the operation for 6 months, the uterines' volume were reduced 24.1% in average.76.4% patients have no more dysmenorrhea and 23.5% ease suffering. All their catamenias recovered to normal at the second menstrual cycle.Conclusion For the treatment of adenomyosis, selective uterine arterial lipiodol embolization is a new method with minimal invasion and good effect.