子宫动脉栓塞治疗子宫肌瘤的临床观察

目的:评价子宫动脉栓塞术治疗子宫肌瘤的临床应用效果及术后反应。方法:采用Seldinger方法经皮股动脉穿刺插管造影确认子宫动脉及肌瘤所在的部位后,超选择性子宫动脉插管,并经导管注入栓塞微粒,阻断子宫肌瘤血供。结果:47例随访3～6月,显效72.3%(34/47),有效17%(8/47),无效10.7%(5/47),总有效率89.3%。结论:子宫动脉栓塞治疗子宫肌瘤是一种创伤小,病人痛苦少,恢复快,并发症少的有效方法。

Clinical observation on uterine artery embolization in leiomyoma of uterus

Objective：To observe the outcome of uterine artery embolization in treatment of leiomyoma of uterus. Methods ： Seldinger technique was used to locate the leiomyoma through percutaneous femoral artery puncture with superselective catheterization. The particles were injected through the catheter for blocking blood supply to the leiomyoma. Results ： The follow-up of 47 cases between 3 and 6 months suggested that the therapy was excellent in 34（72.3% ） ,effective in 8（ 17% ） and failure in 5 （10.7%）. Totally,89.3% responded to the intervention. Conclusion： Uterine artery embolization may be effective in treatment of uterine fi- broids, with less trauma and pain, fewer complications and speedy recovery.