子宫动脉栓塞术治疗子宫肌瘤

目的　探讨选择性子宫动脉栓塞术治疗子宫肌瘤的临床疗效。方法　经股动脉穿刺应用Seldinger技术引入导管鞘 ,将导管超选择性插入双侧子宫动脉 ,经导管注入PVA及明胶海绵颗粒 ,阻断肌瘤血供。结果　经子宫动脉DSA发现 ,子宫肌瘤血供丰富 ,均有双侧子宫动脉供血 ,栓塞双侧子宫动脉后 ,可以完全阻断子宫肌瘤的血供。栓塞后随访结果表明 ,肌瘤及子宫体积明显缩小 ,月经量及月经恢复正常 ,疼痛缓解 ,临床治愈。结论　子宫动脉栓塞术治疗子宫肌瘤 ,是一种创伤小、临床疗效良好、简单安全的新方法 ,其远期疗效有待进一步观察。

Uterine arterial embolization to treat uterine leiomyoma

Objective To evaluate the clinical effect of selective embolization of uterine arteries in the treatment of uterine leiomyoma. Methods The catheterization of the femoral artery wascarried out with seldinger's method, an artery catheter was selectively inserted into bilateral uterine arteries, the PVA and Grain of Gelfoam were introducedthrough catheter to occlude the blood supply of myoma. Results The DSA of uterine arteriography showed that most uterine leiomyoma were suppiled by bilateral uterine arteries,when both uterine arteries were embolized,the blood supply of uterine leiomyoma could be occluded entirely, With a resultfollow up after embolization, the menorrhagia and menstrual cycles returned normal, pain resolved, the uterus and uterine leiomyoma reduced in volume, all of them were cured clinically. Conclusion Uterine arterial embolization is a simple, safe and very effective new way to treat uterine leiomyoma with less trauma. Further investigation would be required to assess its longterm effect.