摘要
目的评价子宫动脉栓塞术(UAE)治疗症状性子宫肌瘤的优越性及近期临床疗效。方法对49例症状性子宫肌瘤患者,使用RUC导管或Cobra导管超选择插入双侧子宫造影并行栓塞治疗。栓塞材料为PVA颗粒,海藻酸钠,超液态碘化油与平阳霉素乳化剂及明胶海绵颗粒。术后随访1～12个月,从肌瘤是否消失或缩小及临床症状改善等方面判断治疗效果。结果 48例行双侧子宫动脉栓塞,1例行单侧栓塞。随访1～12个月,有6例肌瘤完全消失。19例肌瘤较术前缩小大于85%,症状亦明显改善,显著有效占53.06%,20例患者肌瘤较术前缩小小于50%,症状有所改善,有效率36.73%,无效者4例(8.16%)。总有效率91.84%。结论子宫动脉栓塞治疗子宫肌瘤是一种微创、安全、近期临床效果较好的方法,远期效果有待进一步观察。
Objective To evaluate of short-term clinical effect of uterine arterial embolization （ UAE ） for the treatment of symptomatic uterine fibroids.Methods In 49 cases of patients with symptomatic uterine myoma, a RUC or Cobra catheter was inserted into bilateral uterine arteries to do superselective embolization. Embolic material inchluded PVA particles, sodium alginate, super-liquid iodized oil and Pingyang mycin emulsifier and gelatin sponge particles. In postoperative follow-up I-12 months, myoma disappeared or reduced, improvement of clinical symptoms were observed to determine the effectiveness of treatment., results In all cases, 48 received bilateral uterine artery embolization and 1 with unilateral embolization. Follow-up 1-12 months, there were 6 cases with myoma disappeared completely. In 19 cases, myoma reduced 85% compared with preoperative volume, the symptoms were significantly improved, with effective rate 53.06%. In 20 patients, leiomyoma reduced less than 50%, but the symptoms improved with efficiency 36.73%）. The treatment was invalid in 4 cases （8.16%）. The total efficiency was 91.84%. Conclusion Uterine artery embolization for treatment of uterine fibroids is a minimally invasive, safe, good-efficacy method, but the long-term results need further observation.
出处
《当代医学》
2012年第6期56-57,共2页
Contemporary Medicine
关键词
子宫肌瘤
子宫动脉
栓塞
介入治疗
Uterine myoma
Uterine artery
Embolization
Ifiterventional therapy
