摘要
目的探讨超选择性子宫动脉栓塞术(UAE)对子宫腺肌病痛经的临床疗效。方法对郑州大学第二附属医院妇产科2005年1月至2009年11月68例资料完整的采用UAE治疗有痛经的子宫腺肌病患者进行回顾性分析。术后1、3、6、12个月及以后每年1次随访观察并记录患者痛经缓解程度、月经量改变、血红蛋白变化及子宫体积变化情况。结果 UAE术后平均观察(36.3±12)个月。患者痛经缓解临床有效率为86.8%(59/68)、临床无效率为8.8%(6/68)、复发率4.4%(3/68);66例月经过多者UAE后月经量不同程度减少,1例出现闭经。子宫体积呈进行性缩小。结论 UAE治疗子宫腺肌病具有微创、安全、简单的特点,对于有痛经的患者疗效显著。
Objective To explore super selective uterine artery embolism（UAE） in the treatment of adenomyosis. Meth- ods 68 cases of adenomyoma with dysmenorrbea treated by super selective uterine artery embolization in the Second Af- filiated Hospital of Zhengzhou University between Jan. 2005 and Nov. 2009 were reviewed. The degree of dysmenorrhea, amount of menorrhea, change of hemoglobin and uterine volume after the operation were investigated. Results All of the patients were successful. Clinical effectiveness of dysmenorrhea was observed in 86.8% （59/68） , but in 8.8% （6/68） of patients there was no clinical effectiveness, and in 4.4% （3/68） of patients the dysmenorrhea recurred after the opera- tion;66 cases of menstrual quantity is back to normal, 1 cases amenorrhoea. Conclusion The super selective uterine ar- terial embolization for adenomyoma is a minimally invasive and recent clinical effects is better.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2012年第7期530-532,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
子宫腺肌病
痛经
子宫动脉栓塞
介入治疗
adenomyoma
dysmenorrhea
uterine arterial embolization
interventional treatment
