症状性子宫肌瘤介入治疗的临床疗效评价

目的评价选择性子宫动脉栓塞术在症状性子宫肌瘤治疗中的临床应用效果。方法62例子宫肌瘤患者均采用经皮股动脉穿刺双侧子宫动脉插管,术后随访至少3～12个月,观察其临床症状及肌瘤大小变化。结果数字减影血管造影(DSA)发现,子宫肌瘤血供丰富,由双侧子宫动脉供血,部分患者卵巢动脉也参与供血,栓塞冶疗后子宫肌瘤血供被完全阻断。术后3、6、12个月随访,全部病例症状改善率92.8%,术后子宫体积平均缩小45.3%,肌瘤体积平均缩小46.2%,无严重并发症发生。结论超选择性双侧子宫动脉栓塞治疗子宫肌瘤是一种微创、安全、有效的新方法。

Clinical evaluation of interventional therapy for symptomatic uterine leiomyomas

Objective To evaluate the clinical efectiveness of uterine arterioembolization in the treatment of svmptomatic uterine leiomyoma.Methods Sixty-two patients with uterine fibromyoma underwent femoral artery puncture and transcatheter uterine artery embolization.The clinical manifestations and the size of tumors were investigated in a 3-12month post-procedure follow-up.Results Arteriography showed that uterine myomata sufficiently supplied by bilaterral uterine arteries.partly supplied by ovarian arteries,After bilateral uterine arteries were embolized,the blood supply of uterine eiomvomas were blocked completely.With a mean follow-up of 3,6 and 12 months,the im-provement rate reached 92.8%.in average the uterine size Was reduced by 45.3%and the size of tumor Was reduced by 46.2%after the intervention.No senious complication occurred.Conclusion Bilateral supe r-selec tive uterine artery embolization is a new,safe and efec tive method for the treatment of uterine myoma.