子宫肌瘤栓塞术的临床观察

Clinical observation of transcatheter embolization for uterine fibroids

目的 子宫动脉栓塞术 (TUAE)对子宫肌瘤治疗后的临床及卵巢内分泌功能的观察。方法 65例病人采用Seldinger技术一侧经皮股动脉插管 ,超选择至双侧子宫动脉 ,用聚乙烯醇微粒 (PVA)栓塞。每个病人随访 3～ 12个月。结果 48例临床症状完全消失 ,17例明显好转 ,有效率 10 0 % ,B超或MRI复查肌瘤缩小率为 97% ,无一例复发。无一例严重并发症 ,卵巢内分泌功能测试栓塞前后无明显差异 (P >0 .0 5 )。结论 子宫肌瘤栓塞术治疗子宫肌瘤是一种疗效好 ,安全的治疗方法。

Objective To observe the clinical changes of patients with uterine fibroids as well as the changes of endosecretory functions after transcatheter uterine artery embolization (TUAE). Methods Sixty-five cases of uterine fibroids were treated by using Seldinger's method,superselcet to embolize both uterine arteries with PVA. Each case was followed 3-12 months. Results Clinical symptoms in 48 patients were disappeared,17 cases were improved significantly. Ratio of thrapeucal effective was 100%,B-ultrasound or MRI following 3-12 months revealed a shrinkage of 97%. No recurrent was observed. Function of endosecretory had no change (P>0.05). Conclusion TUAE for uterine fibrdids is a safe and effective method.