子宫肌瘤介入栓塞治疗34例分析

目的 评价经导管子宫动脉栓塞治疗子宫肌瘤的疗效。方法 34例子宫肌瘤患均采用超选择性双侧子宫动脉插管方法,注射聚乙烯醇（PVA）和明胶海绵栓塞。结果 所有病例随访1－15个月（平均6个月）,总的症状改善率91．2％（31／34）,表现为月经增多症状均有不同程度改善,下腹部胀痛消失,栓塞后肌瘤均有缩小,B提示瘤体缩小1／3或以上达79．4％（27／34）。结论 子宫动脉栓塞治疗子宫肌瘤病是一种安全、有效的治疗方法。

Transcatheter embolization for uterine fibroids (an analysis of 34 cases)

Objective To evaluate the curative effect of transcatheter embolization of bilateral uterine artery as a treatment for fibroid. Methods 34 patients with fibroid were treated by intra - arterial embolization of PVA particles and Gelfoam stick after super - selective catheteriza-tion. Results All cases were observed with a follow up of 1 to 15 months (mean 6 months) after the treatment. Total improvement of symptoms occurred in 91.2% (31/34). menorrhagia was improved in different extent and lower abdominal pain was disappearance. The fibroid after the embolization diminished in all case. The tumor size decreased to 1/3 or more by sonography in 79.4% (27/34) of the patients. Conclusion Uterine arterial embolization is a safe and good clinical results interventional procedure.