子宫肌瘤动脉栓塞治疗的临床应用

Clinical application of arterial embolization for the treatment of uterine leiomyoma

目的 探索子宫动脉栓塞治疗子宫肌瘤的方法 ,了解其临床效果、不良反应及并发症。方法 对 1 6例以月经量增多、经期延长为主要症状的子宫肌瘤患者 ,通过超选择性双侧子宫动脉插管 ,用直径 35 0～ 5 0 0 μm的真丝微粒将子宫动脉栓塞。 结果 栓塞成功率达 93% ,无严重并发症。随访 3～1 2个月 ,所有病例月经恢复正常 ;贫血病例 ,血红蛋白升至正常范围。术后 6个月肿瘤平均缩小 5 2 %。结论 子宫肌瘤栓塞治疗是创伤小 ,保留子宫 ,并发症少 。

Objective To explore the curative effects, side effects and complications of arterial embolization for the treatment of uterine leiomyoma.Methods Bilateral uterine arterial embolization with silk particles of 350～500 μm was performed in 16 cases of uterine leiomyomas with uterine hemorrhage as the main complaint.Results 15 patients underwent technically successful embolization. No serious complications occurred. The patients were followed up for 3～12 months. Menses returned to regular cycle. In the patients with anemia, the hemoglobin concentration rose up to normal level. The sizes of uterine leiomyoma decreased by 52% after 6 months of the treatment.Conclusions Uterine arterial embolization is an effective and less invasive therapy with no serious complications for patients with uterine leiomyoma, especially for presentation of the uterus.