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子宫动脉栓塞术治疗子宫腺肌病的疗效观察
引用本文:陆敏.子宫动脉栓塞术治疗子宫腺肌病的疗效观察[J].中国全科医学,2011,14(2).
作者姓名:陆敏
作者单位:第三军医大学第二附属医院妇产科,重庆市,400037
摘    要:目的探讨子宫动脉栓塞术治疗子宫腺肌病的临床疗效。方法用海藻酸钠微球行子宫动脉栓塞术治疗76例子宫腺肌病患者,于术后1、3、6个月观察患者的月经量、痛经程度、子宫大小及子宫动脉阻力指数(R I)的变化以及对卵巢功能的影响。结果术后1、3、6个月随访观察,患者痛经评分明显减少、月经经期明显减短、月经量明显减少,与术前比较差异均有统计学意义(P<0.05)。术后子宫体积明显缩小,R I明显下降,与术前比较差异均有统计学意义(P<0.01)。术后内分泌激素卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)水平与术前比较差异均无统计学意义(P>0.05)。结论子宫动脉栓塞术治疗子宫腺肌病近期疗效显著,能明显减轻痛经、月经周期和出血量,对内分泌无影响,安全性好。

关 键 词:动脉栓塞  子宫腺肌病  海藻酸钠微球  

The Therapeutic Effects of Uterine Arterial Embolization in the Treatment of Adenomyosis
LU Min.The Therapeutic Effects of Uterine Arterial Embolization in the Treatment of Adenomyosis[J].Chinese General Practice,2011,14(2).
Authors:LU Min
Institution:LU Min.Department of Gynecology and Obstetrics,Xinqiao Hospital of Third Military Medical University,Chongqing 400037,China
Abstract:Objective To investigate the therapeutic effects of uterine artetial embolization(UAE)in treatment of Adenomyosis.Methods Total 76 patients with adenomyosis wene enrolled and treated by UAE with Kelt Microsphere Gelatin.The degree of dysmenorrhea,amount of bleeding,uterine volume,the resistance index(RI)of bilateral uterine arteries,and the ovarian function were investigated on the 1,3,and 6 months after treatment.Results The degree of dysmenorrheal and amount of bieeding decreased on the 1,3,and 6months af...
Keywords:Atheroembolism  Adenomyosis  Kellt microsphere gelatin  
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