| 有限性子宫动脉栓塞保护子宫动脉-卵巢动脉吻合 |
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| 引用本文： | 陈胜利,卢建华,朱栋梁,黄子诚,陈国东,吕军,马奔,雷蔚华. 有限性子宫动脉栓塞保护子宫动脉-卵巢动脉吻合[J]. 介入放射学杂志, 2009, 18(2) |
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| 作者姓名： | 陈胜利 卢建华 朱栋梁 黄子诚 陈国东 吕军 马奔 雷蔚华 |
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| 作者单位： | 广州市第一人民医院介入放射科,510180;广州市第一人民医院妇产科,510180 |
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| 摘 要： | 目的 探讨子宫动脉栓塞时识别与保护子宫动脉-卵巢动脉吻合(UA-OAa).方法 回顾性分析子宫肌瘤与子宫腺肌瘤患者在子宫动脉栓塞(UAE)前后子宫动脉造影显示UA-OAa的DSA资料.结果 1 056例UAE患者中68例104侧卵巢动脉在栓塞前(后)子宫动脉造影时逆向显影,左侧OA显影47例、右侧OA显影57例,都呈Razavi-Ⅰ型吻合.20例左侧子宫动脉和27例右侧子宫动脉达到肌瘤动脉栓塞,而UA-OAa保持.68例UAE治疗后在1～2年的追踪期内无一例发生卵巢功能衰竭,33例超声复查其吻合通畅组(n=24例)与吻合阻断组(n=9例)在追踪期间(5.9±3.0,1～12个月)肌瘤缩小率(分别为60.63±23.59%和53.27±28.68%)差异无统计学意义(P>0.05).结论 有限性子宫动脉栓塞可保持UA-OAa,是UAE治疗子宫(腺)肌瘤可供选择的血管造影栓塞终点.
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| 关 键 词： | 子宫动脉 卵巢动脉 吻合 动脉栓塞 子宫肌瘤 子宫腺肌瘤 |
Limited uterine artery embolization and the protection of uterine-ovarian artery anastomosis |
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| CHEN Sheng-li,LU Jian-hua,ZHU Dong-liang,HUANG Zi-chen,CHEN Guo-dong,LV Jun,MA Ben,LEI Wei-hua. Limited uterine artery embolization and the protection of uterine-ovarian artery anastomosis[J]. Journal of Interventional Radiology, 2009, 18(2) |
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| Authors: | CHEN Sheng-li LU Jian-hua ZHU Dong-liang HUANG Zi-chen CHEN Guo-dong LV Jun MA Ben LEI Wei-hua |
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| Abstract: | Objective To investigate how to distinguish and to protect the arterial anastomosis between uterine and ovarian arteries (UA-OAa) during the procedure of embolization of uterine artery for hysteromyoma or solenoma. Methods DSA findings in 1 056 patients with hysteromyoma or solenoma, who underwent uterine artery embolization (UAE), were retrospectively analyzed. A comparison of imaging findings between pre-and post-procedure was made. Results Of 1 056 cases receiving UAE, 104 ovarian arteries were displayed... |
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| Keywords: | uterine artery ovarian artery arterial anastomosis arterial embolization hysteromyoma solenoma |
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