子宫动脉栓塞术治疗子宫肌瘤22例.doc

子宫动脉栓塞术治疗子宫肌瘤22例
作者:郭卫平,张洪新,倪代会,王执民,王义清,李文献,刘燕,韩瑞炀
【关键词】子宫肌瘤
关键词: 子宫肌瘤;子宫动脉;栓塞,治疗性

摘要:目的对不同类型子宫肌瘤进行子宫动脉栓塞治疗的临床应用研究,了解此方法疗效、副反应及并发症,探索治疗子宫肌瘤的新方法. 方法对22例以子宫出血、月经失常、贫血、下腹包块等为主要表现的子宫肌瘤患者进行双侧子宫动脉栓塞(1次,碘化油用量以瘤染色消失为限),随访复查瘤体大小、出血多少、月经、贫血等方面的变化. 结果随访12mo,瘤块均有不同程度的缩小[其中,粘膜下肌瘤由术前(±)cm缩小至(±)cm,P<;肌壁间肌瘤由术前(±)cm缩小至(±)cm,P<;浆膜下肌瘤由术前(±)cm缩小至(±)cm,P<],所有子宫出血病例,月经恢复正常;贫血病例,血红蛋白升至正常范围[其中,粘膜下肌瘤由术前(±)cm升至(±)g L-1 ,P<;肌壁间肌瘤由术前(±)g L-1 升至(±)g L-1 ,P<;浆膜下肌瘤由术前(±)g L-1 升至(±)g L-1 ,P<].无严重并发症发生. 结论子宫动脉栓塞术是治疗各类子宫肌瘤的安全、有效的新方法,对于想保留子宫、不愿手术、有手术禁忌证等情况的子宫肌瘤患者,不失为良好的选择.

Keywords:hysteromyoma;uterine arterial;embolization,therapeutic

Abstract:AIM To assess the curative effects,side effect-plications of uterine arterial embolizartion therapy for Bilateral uterine arterial embolization(only once,moderate lipidol until the imaging of tumor disppeared)was performed on22patients suffering from hysteromyoma with the signs of uterine hemorrhage,anemia or abdomenal mass, of the amount of uterine hemorrhage,the seriousness of anemia and the size of tumors were observed during follow-up 12months after the treatment,the tumors in all cases were found shrunk in varied degrees [submucous re-duced from(±)to(±)cm,P<;leiomy-oma reduced from(±)to(±)cm,P<;reduced from(±)to(±)cm,P<].Ab-normal uterine hemorrhage and anemia disappeared [submu-cousd increased from(±)to(±)g L-1 ,P<;leiomyoma increased from(±)to(±)g L-1 ,P<;subserous increased from(
±)to(±)g L-1 ,P<].No pli-cations Uterine arterial emboliza-tion,a safe and effective therapy,might be the first choice for the patients who are unwilling to run the risk of a surgery,to keep their utenus,or suffer from some contrain-dictions.