子宫动脉栓塞术治疗子宫肌瘤临床观察

The clinical effects of uterine arterial embolization on uterine leiomyoma

目的 研究经导管子宫动脉栓塞术治疗子宫肌瘤的临床效果。方法 选择子宫肌瘤患者30例 ,采用Seldinger技术用5.0FRH导管行双侧子宫动脉插管 ,造影确认后注入PVA栓塞颗粒 ,阻断肌瘤血液供应。分别于术后3个月、6个月观察疗效。结果 本组子宫肌瘤均表现为双侧子宫动脉供血 ,并行一次性两侧栓塞 ,技术成功率100 %。术后3～6个月 ,98.3%月经恢复正常 ,92.6%贫血缓解 ,压迫症状均缓解 ,肌瘤体积分别缩小47.92%～100%,副反应有缺血性盆腔疼痛 ,发热和消化道反应 ,无其他严重并发症。结论

Objective To assess the clinical effects of uterine arterial embolization on uterine leiomyoma. Methods 30 patients with uterine leiomyoma underwent seldinger's uterine arterial embolization The 5.0 FRH catheter was placed into the double uterial arteries with polyvinyl Alcohol foam(PVA)particles as the embolizer. At 3 and 6 months postoperatively, the effects of the embolization were investigated. Results All hysteromyomas in this study were supplied by bilateral uterine arteries, and successful bilateral embolization was completed in all cases by one procedure during a following up period of 3～6 months, menstruation resumed normal in 98.3%, with improvement of anemia (92.6%) and pressur-related pelvic symptoms(100%),The decrease in tumor's volume was 47.9～100%. Except pelvic ischemic pain, fever and nausea in some cases, no severe complications occurred Conclusion Uterine arterial embolization is an effective and less invasive way to treat uterine leiomyoma.