选择性子宫动脉栓塞治疗子宫肌瘤的临床研究

目的 观察选择性子宫动脉栓塞治疗子宫肌瘤的临床效果。方法 21例子宫肌瘤患者采用Seldinger‘s方法作选择性子宫动脉栓塞治疗，经股动脉穿刺，将导管插入子宫动脉，造影，再经导管注入真丝线段，栓塞子宫动脉。结果 造影发现子宫肌瘤血供丰富，部分肌瘤血供来自肌瘤侧子宫动脉，部分肌瘤双侧子宫动脉均参与供血。栓塞肌瘤供血侧或双侧子宫动脉后子宫肌瘤血供可完全阻断。定期随诊结果月经量及月经周期恢复正常，肌瘤和子宫体积明显缩小，临床有效率达95．24％。结论 选择性子宫动脉栓塞治疗子宫肌瘤是一种微创伤、临床效果好的新方法。

Selective Uterine Arterial Embolization to Treat Uterine Myoma

Objective To evaluate the clinical effects of sel ec tive embolization of uterine arterine arteries in the treatment of uterine myoma .Methods Twenty-one cases with symptomatic uterine myoma were trea ted by arteries embolization. After a percutaneous femoral arterial puncture,an artery catheter was steclively inserted into bilateral uterine arteries. The ins ertion silk of fragment were introduced through catheter to occlude the blood su pply of myoma.Results Arteriogroply showed that some uterine myoma were supplied by bilateral uterine arteries and some were supplied by one uterin e artery.When one or both uterine arteries were embliozed,the blood supply of ut erine myoma could be occluded.Following embilization, the menorrhagia and menstr ual cycles returned to normal.The volume of most myoma shrinked greatly and effe ctive rate was 95.24%.Conclusion Selective uterine artery emobo lization is a new method for treatment of uterine myoma with less trauma.