摘要
目的回顾性分析子宫肌瘤行子宫动脉栓塞(UAE)治疗过程中瘤体血供与子宫动脉卵巢支(OB)及卵巢动脉(OA)显影的相关性与临床治疗观察。方法通过对363例诊断明确的子宫肌瘤患者行UAE治疗,观察瘤体血供及OB、OA显影情况,术后随访瘤体变化情况及追踪监测卵巢功能。结果瘤体血供分为由一侧为主型(34.16%)、双侧均匀型(43.80%)、单一侧型(22.04%);其中均匀型OB显影明显多于其他两组(P<0.05),而乏血供侧子宫动脉OA要多于其他子宫动脉(P<0.05)。OB显影患者卵巢功能出现一过性障碍,3个月后恢复正常,并且各种不同血供类型瘤体缩小变化未见明显差异。结论子宫肌瘤血供分型与OB、OA对卵巢供血存在着平衡相关性,特别对于乏血供侧子宫动脉栓塞应注意栓塞流量,防止出现卵巢早衰。
Objective To retrospectively analyze the correlation between uterine fibroid and ovarian blood supply,and to discuss the visualization of ovarian artery and uterine ovarian branch in uterine arterial embolization.Methods A total of 363 patients with clinically-confirmed uterine fibroid were enrolled in this study.Uterine arterial embolization was carried out in all patients.The visualization of ovarian artery and uterine ovarian branch during angiography was recorded.After the procedure the changes of uterine fibroid and ovarian functions were followed up.The results were statistically analyzed.Results The blood supply of uterine fibroid could be divided into three types：unilateral artery as the main source of blood supply（34.16%）,bilateral balanced blood supply（43.80%） and unilateral uterine artery（22.04%）.The visualization rate of uterine ovarian branch in bilateral balanced blood supply type was significantly higher than that of other two types（P〈0.05）.The visualization rate of ovarian artery at the side which was lack of blood vessels was higher than that at the opposite side（P〈0.05）.Transient ovary functional impairment was observed in patients with visualization of uterine ovarian branch,which restored to normal in three months.No significant difference in the reduction of the tumor mass existed between each other among the different blood supply types.Conclusion The blood supply types of uterine fibroids have a parallel relationship with the ovarian blood supply from ovarian artery and/or uterine ovarian branch.Special attention should be paid to the uterine arterial embolization of the side that is lack of blood vessels,and it is needed to carefully observe the embolization extent,the flow velocity,etc.during the performance of embolization so as to avoid ovarian function impairment.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第3期206-209,共4页
Journal of Interventional Radiology
关键词
卵巢动脉
子宫肌瘤
动脉栓塞
卵巢功能
ovarian artery
uterine fibroid
arterial embolization
ovarian function
