子宫肌瘤栓塞治疗副反应及并发症预防及处理

目的分析子宫肌瘤治疗副反应及并发症发生的原因,制定相应的预防及治疗措施。方法86例子宫肌瘤接受子宫动脉栓塞治疗,年龄28～51岁,平均年龄39.4岁。子宫动脉栓塞方法为经导管双侧子宫动脉注入聚乙烯醇(PVA)颗粒,然后明胶海绵颗粒栓塞子宫动脉近端至血流变缓慢,统计治疗出现的不良反应、并发症的发生率。结果子宫肌瘤栓塞治疗后所出现的不良反应及并发症为栓塞后综合征(86例,100%);尿频、尿急、尿痛(11例占12.8%);阴道排泄坏死肿瘤组织(2例占2.3%);尿潴留(5例占5.8%);臀部淤血、溃烂(1例占1.1%);尿路感染(1例占1.1%);闭经(1例占1.1%)。结论子宫肌瘤的栓塞治疗疗效可靠,安全,其不良反应和并发症是可以预防和避免的。

Prevention and therapy of adverse reactions and complication of transcatheter uterine artery embolization for uterine fibroids

Objective To analysis the adverse reactions and complications as well as their preventive and the therapeutic measure of transcatheter uterine artery embolization for uterine fibroids. Methods eighty-six patients with uterine fibroids were treated by transcatheter uterine artery embolization. Bilateral uterine arteries were enbolized using Polyvimyl Alcohol(PVA) particles, together Gelfoam particles.The adverse reactions and complications were record. Results The adverse reactions and complications of transcathetet uterine artery embolization (n=11,12.8%); expelling of necrotic fibroids per vagina(n=2,2.3%); urinary retention(n=5,5.8%); ecchymosis and ulceration on buttock(n=1,1.1%); urinary tract infection(n=1,1.1%); amenorrhea(n=1,1.1%); Conclusion transcatheter uterine artery embolization for uterine fibroids is effective and safe, the adverse reactions and complications are preventable and curable. [