摘要
目的探讨子宫动脉栓塞手术对子宫肌瘤临床治疗的防治方法,为临床治疗提供可靠依据。方法根据2010年3月—2012年3月我院接收的100例子宫肌瘤患者分析,均采取子宫动脉栓塞治疗,术前检查,有38例患者的肌瘤直径超过4 cm,为患者使用Seldinger技术经皮股动脉穿刺插管行子宫动脉栓塞治疗,使用的栓塞剂是海藻酸钠微球(KMG)、新鲜明胶海绵颗粒。结果共有45例患者有腰骶疼痛症状,为其消炎镇痛后患者1周内症状缓解,3周后症状消失;有20例低热病例,12例术后便秘,使用缓泻剂治疗后改善,有23例UAE治疗后15 d、30 d时坏死的肌瘤细胞由宫颈外口脱出,需要清除病灶,治疗后患者无并发症恢复良好。结论子宫肌瘤患者接受子宫动脉栓塞手术治疗能够缩小肌瘤体积,术后对并发症及时采取治疗措施能够提升治疗效果。
Objective To investigate the prevention and treatment of uterine artery embolization for uterine fibroids, and to provide a reliable basis for clinical treatment. Methods From March 2010 to March 2012, 100 cases of uterine fibroids in our hospital were treated with uterine artery embolization, preoperative examination showed that 38 patients with myoma more than 4 cm in diameter, Seldinger technology was used in patients with percutaneous femoral artery puncture for uterine artery embolization, embolic agents were sodium alginate microspheres （KMG） and gelfoam particles. Results A total of 45 cases of patients with lumbosacral pain symptoms, for its antiinflammatory and analgesic in patients after 1 weeks of symptoms, the symptoms disappeared after 3 weeks; 20 cases of fever cases, 12 cases of constipation after operation, improve the use of laxatives after treatment, 23 cases of UAE after treatment for 15 d, 30 d necrotic fibroids the cells from the cervix mouth prolapse, need debridement, after treatment of patients with good recovery without complications. Conclusion Uterine fibroids embolization in uterine fibroids patients can reduce the volume of fibroids, and timely treatment measures for complications can improve the therapeutic effect.
出处
《中国卫生标准管理》
2017年第20期40-41,共2页
China Health Standard Management
关键词
子宫肌瘤
栓塞
子宫血管
uterine fibroids
embolization
uterine vessels
