子宫肌瘤介入治疗技术因素探讨

目的:总结子宫动脉栓塞治疗子宫肌瘤操作技术经验。方法:对介入治疗的52例有症状子宫肌瘤患者进行回顾性分析。结果:子宫动脉栓塞操作成功率为96.2%,所有肌瘤均由双侧子宫动脉供血,双侧等同优势供血为57.7%,单侧优势供血为42.3%,子宫动脉的卵巢支显影为5.8%。手术平均操作时间为(60±15)min,平均累计曝光时间为(26.4±12.2)min。定期复查疗效显著,未出现严重并发症。结论:合理运用操作技术,不仅有利于手术的顺利进行,减少并发症,而且缩短操作时间,减少了患者及术者的放射损伤。

Technical factor analysis of interventional therapy for uterine fibroid

Objective To summarize the technical experiences of uterine artery embolization for the treatment of fibroid.Method:52cases with symptomatic fibroid treated by interventional therapy were reviewed.Results The success rate of the procedure is96.2%.All fibroids studied are fed by bilateral uterine arteries,among which equal priority accounts for 57.7%,and unequal priority accounts for 42.3%.The ovarian branch of uterine artery appears in5.8%of the cases.The mean operation time was(60±15)minutes,the mean fluoroscopy time was(26.0±12.2)minutes.It showed noticeable effect and no serious complications at regular follow-up.Conclusion Reasonable operative techniques not only facilitate the success rate and reduce complication,but also shorten time of oper-ation and reduce X-ray radiation for patient and operator.