摘要
目的关于数字减影血管造影(DSA)特殊功能在子宫肌瘤栓塞治疗当中的应用效果评价。方法对2018年1月至2019年8月到我院进行治疗的子宫肌瘤患者选出46例分为观察组和对照组,每组23例。观察组行子宫动脉栓塞术特殊功能(3D-DSA+最佳工作体位+路图技术)治疗研究,对照组行常子宫动脉栓塞术治疗,不同治疗之后的治疗总有效率、并发症发生率、治疗前后的子宫体系、子宫肌瘤体积、手术时间、透视时间、对比剂用量、治疗前后的焦虑、抑郁情绪、睡眠质量等进行统计统计学计算并进行比较。结果观察组治疗有效率为95.65%(22/23),对照组治疗有效率为56.52%(13/23),差异具有统计学意义(P<0.05);观察组并发症发生率为8.70%(2/23),对照组为34.78%(8/23),差异具有统计学意义(P<0.05);观察组治疗后子宫体积为(105.42±11.32)mm^(3),对照组为(117.23±13.14)mm^(3),观察组治疗后的肿瘤体积为(23.14±11.22)mm^(3),对照组为(34.22±11.35)mm^(3),差异具有统计学意义(P<0.05);对两组患者的手术时间、透视时间、对比剂用量进行比较,除手术时间外,观察组均优于对照组,P<0.05,存在统计学差异性;治疗前,两组患者存在较为严重的焦虑、抑郁情绪和睡眠质量,且相互之间差异不显著(P>0.05),治疗后,两组患者焦虑和抑郁情绪、睡眠质量等都得到改善,但观察组患者的改善效果都比多少组更好,差异具有统计学意义(P<0.05)。结论通过子宫动脉栓塞术特殊功能应用在子宫肌瘤栓塞治疗中可使治疗效果得到提升,减少出现并发症的概率,改善患者的子宫体积和肿瘤体积,缩短手术时间,降低手术风险,提高患者的心理状态和睡眠质量,值得推广应用。
Objective To evaluate the effect of special function of uterine artery embolization(DSA)in the treatment of uterine fibroid embolization.Methods Forty-six patients with uterine fibroids who were treated in our hospital from January 2018 to August 2019 were selected and divided into observation group and control group,with an average of 23 cases.The observation group was treated with uterine artery embolization with special functions(3D-DSA+optimal working position+roadmap technology)treatment research,and the control group was treated with regular uterine artery embolization.Before and after the uterine system,uterine fibroids volume,operation time,fluoroscopy time,contrast agent dosage,anxiety,depression,sleep quality before and after treatment were statistically calculated and compared.Results The effective rate of the observation group was 95.65%(22/23),and the effective rate of the control group was 56.52%(13/23),the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 8.70%(2/23),the control group was 34.78%(8/23),the difference was statistically significant(P<0.05);the uterine volume after treatment in the observation group was(105.42±11.32)mm^(3),and the control group was(117.23±13.14)mm^(3),the tumor volume after treatment in the observation group was(23.14±11.22)mm^(3),and that in the control group was(34.22±11.35)mm^(3),the difference was statistically significant(P<0.05).Comparison of fluoroscopy time,fluoroscopy time and contrast agent dosage,except for the operation time,the observation group was better than the control group,P<0.05,there was a statistical difference;before treatment,the two groups of patients had more serious anxiety,depression and sleep quality,and there was no significant difference between them(P>0.05).After treatment,the anxiety and depression,sleep quality,etc.of the two groups of patients were improved,but the improvement effect of the observation group was better than that of the other groups,and the difference was s
作者
宋威
SONG Wei(Intervention Treatment Room of Liaoning Yingkou Economic and Technological Development Zone Central Hospital(the Sixth People's Hospital of Yingkou),Yingkou 115007,China)
出处
《中国医药指南》
2022年第7期34-37,共4页
Guide of China Medicine
