摘要
目的探讨数字减影血管造影(digital subtraction angiography,DSA)三维导航技术在子宫动脉栓塞(uterine artery embolization,UAE)患者中的应用效果。方法选取2020年1月至2023年1月河北生殖妇产医院接受治疗且术后均接受3个月随访的105例UAE患者的资料,其中接受常规血管造影引导下UAE治疗的50例作为对照组,接受DSA三维导航技术引导下UAE治疗的55例作为观察组,比较两组患者术后临床疗效、手术时间、并发症和卵巢功能指标[黄体生成素(luteinizing hormone,LH)、卵泡刺激素(follicle stimulating hormone,FSH)、雌二醇(estradiol,E_(2))]。结果观察组手术时间(51.11±5.58)min少于对照组(72.33±7.04)min、治疗总有效率(98.18%)高于对照组(84.00%),差异有统计学意义(P<0.05);治疗3个月后,对照组LH水平升高且高于观察组,E_(2)水平降低且低于观察组,差异有统计学意义(P<0.05),两组FSH水平比较,差异无统计学意义(P>0.05);观察组并发症发生率(9.09%)低于对照组(30.00%),差异有统计学意义(P<0.05)。结论DSA三维导航技术引导下的UAE治疗能够缩短手术时间,减少对卵巢功能的影响,降低并发症发生率,提高临床疗效。
Objective To explore the application effect of digital subtraction angiography(DSA)three-dimensional navigation technology in patients with uterine artery embolization(UAE).Methods The data of 105 patients with UAE who were treated in Hebei Maternity Hospital from January 2020 to January 2023 and followed up for 3 months after operation were selected,including 50 patients who were treated with UAE under the guidance of routine angiography as the control group and 55 patients who were treated with UAE under the guidance of DSA three-dimensional navigation technology as the observation group.The postoperative clinical efficacy,operation time,complications and ovarian function index[luteinizing hormone(LH),follicle stimulating hormone(FSH),estradiol(E_(2))]were compared between the two groups.Results Operation time of observation group(51.11±5.58)min was less than the control group(72.33±7.04)min,and the total effective rate(98.18%)was higher than that of the control group(84.00%),the differences were statistically significant(P<0.05).After 3 months of treatment,The LH level in the control group increased and was higher than that in the observation group,while the E_(2) level decreased and was lower than that in the observation group,the differences were statistically significant(P<0.05).There was no statistically significant difference in FSH levels between the two groups(P>0.05).The incidence of complications in observation group(9.09%)was lower than that in control group(30.00%),the difference was statistically significant(P<0.05).Conclusion UAE treatment guided by DSA threedimensional navigation technology can shorten the operation time,reduce the impact on ovarian function,reduce the incidence of complications and improve the clinical efficacy.
作者
金钊
郑国
高辉玲
刘江丽
付志霞
Jin Zhao;Zheng Guo;Gao Huiling;Liu Jiangli;Fu Zhixia(Department of Interventional Radiology,Hebei Maternity Hospital,Shijiazhuang Hebei 050090,P.R.China;Department of Reproductive Medicine,Hebei Maternity Hospital,Shijiazhuang Hebei 050090,P.R.China)
出处
《中国计划生育和妇产科》
2024年第5期83-86,共4页
Chinese Journal of Family Planning & Gynecotokology
基金
石家庄市科学技术研究与发展计划项目(项目编号:223460663)
卫生部医药卫生科技项目(项目编号:13010520222810)。
关键词
数字减影血管造影三维导航技术
子宫动脉栓塞
卵巢功能
临床疗效
digital subtraction angiography three-dimensional navigation technology
uterine artery embolization
ovarian function
clinical efficacy
