子宫动脉栓塞术治疗子宫肌瘤的临床应用

目的探讨子宫动脉栓塞术治疗子宫肌瘤的疗效。方法对70例子宫肌瘤患者进行选择性子宫动脉栓塞治疗。结果术后随访12个月，月经量减少至术前的（48．2±15．4）％（P〈0．01）。伴有贫血者血红蛋白含量术后3个月恢复至（115．1±8．6）g／L（P〈0．01）（未使用补血药）。子宫肌瘤体积术后1年缩小至（35．6±10．2）cm^3（P〈0．01）。所有病例无严重并发症。结论子宫动脉栓塞治疗子宫肌瘤具有创伤小、愈合快：可保留子宫、显著缓解症状等特点。

Clinical application of the womb artery bolts for the treatment of womb muscle lump

Objective To evaluate the efficacy of superselective uterine arterial emboilization for uterine fibroids. Methods UAE was performed in 70 patients with uterine myoma. All patients were followed-up 12 months to observe the changes of clinical symptoms, uterus＇ and myomata size. Results All clinical symp toms of 70 patients were relieved. Catamenia shortened and menorrhagia reduced to （48.2± 15.4） % （ P 〈 0. 01 ） with periods unchanged. Hemoglobin （Hb） returned from （74. 8 ±4. 8） g/L before operation to （ 115.1 ± 8.6 ） g/L （ P 〈 0.01 ） （ Has not used the tianemic） in patients with secondary anemia. The size of myomata decreased to （ 35.6 ± 10. 2） cms （ P 〈 0. 01 ） after 1 year, respectively. In the course of the therapy, no severe complications appeared. Conclusion UAE is an effective and safe therapy in uterine myoma. This method can lighten symptom, improve anemia, reduce menorrhagia and decrease the volume of uterus and myomata..