子宫动脉栓塞治疗子宫肌瘤72例分析

目的：总结子宫动脉栓塞治疗子宫肌瘤的操作和临床经验。方法：72例子宫肌瘤患者，采用超选择性双侧子宫动脉插管的方法，进行造影和栓塞治疗，栓塞剂采用聚乙烯醇（PVA）和明胶海绵，栓塞治疗后观察术后反应和症状变化。结果：栓塞治疗成功率98．61％，造影显示子宫动脉增粗改变及肿瘤染色。肌瘤均有缩小（100％），直径缩小1／3或以上者达72％。结论：子宫动脉栓塞治疗子宫肌瘤是一种成熟的和安全的治疗手段，创伤小，痛苦小，恢复快，对于不宜或不愿手术切除者尤为适用。

Uterine Fibroid Embolization: An Analysis for the Results of 72 Patients

Objective To make a summary for the technique and clinical experience by analyzing the results of 72 patients with uterine fibroima treated by arterial embolization. Methods Seventy two patients with uterine fibroma were treated by intra arterial embolization of PVA particles and gelfoam stick after super selective catheterization and angiography. The results after the operation were recorded by means of post operative reactions and symptomatic improvement. Results The success rate of the operation is 98.61%. An enlargement of the uterine artery and a sign of tumor stain were noticed on the angiogram, in 72% of the patients the tumor diameter decreased by 1/3 or more. Conclusion Uterine arterial embolization is a safe and well experienced interventional procedure with a less interruption, minimal pain and a rapid rehabilitation. It is especially suitable for the patients unsuitable or unwilling to receive a surgery.