摘要
目的探讨子宫动脉栓塞（uterine arterial embolization,UAE）治疗子宫黏膜下肌瘤后患者月经恢复情况。方法选择2006年5月至2007年12月在广东省中山市中医院住院治疗的27例子宫黏膜下肌瘤患者,肌瘤直径3~12cm,以Seldinger技术完成单侧股动脉插管,至双侧子宫动脉并经数字减影血管造影证实后,以海藻酸钠微球（KMG）栓塞子宫动脉。结果在UAE治疗后66~180天,27例子宫黏膜下肌瘤均排出或消失,其中13例经阴道排出,14例吸收消失;治疗前后血FSH、LH、E2无明显变化（P〉0.05）;肌瘤直径〈5cm者,UAE治疗后,月经恢复正常需2~3个月,肌瘤直径〉5cm者月经恢复正常需3~4个月。结论 UAE治疗有症状性黏膜下肌瘤疗效确切,直径较大的黏膜下肌瘤术后月经恢复正常需要时间较长。
Objective To evaluate the recovery of menstruation after uterine arterial embolization（UAE）on submucosal fibroids.Methods 27 patients with submucosal fibroids underwent UAE in Chinese Medicine Hospital of Zhongshan from May 2006 to December 2007.The diameter of the submucosal fibroids was between 3 cm and 12 cm.After the completion of unitary abdominal aorta intubation with Seldinger technology and digital subtraction angiography（DSA）.The size of submucosal fibroids,hemolobin level,menstruation,female hormones and ovulation before and after therapy were examined.Results All the submucosal fibroids were discharged by vagina or disappeared after 66 to 180 days.The levels of FSH,LH and E2 had no significant changes before and after UAE（P0.05）.It took 2~3 months for the recovery of menstruation for patients whose fibroids diameter less than 5 cm,for those whose fibroids diameter ≥5 cm,it took 3～4 months.Conclusions UAE is an effective treatment method for submucosal fibroids.Its influence on menstruation is short.The larger the diameter of submucosal fibroids is,the longer time is will take for the recovery of normal menstruation.
出处
《中国妇产科临床杂志》
2010年第5期352-354,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
子宫黏膜下肌瘤
子宫动脉栓塞
月经
submucosal fibroids
uterine arterial embolization
menstruation
