介入治疗子宫肌瘤的临床应用

目的：探讨选择性子宫动脉栓塞治疗子宫肌瘤的临床应用及疗效。方法：采用Seldinger技术行超选择性双侧子宫动脉插管栓塞治疗子宫肌瘤患者28例，术后3月、6月随访复查患者临床症状及子宫瘤体改变情况。结果：血管造影发现子宫肌瘤为富血管良性肿瘤，均由双侧子宫动脉共同供血。双侧子宫动脉栓塞后，子宫肌瘤血供完全阻断，病理血管征象消失。术后3月、6月随访患者月经量及月经周期恢复正常，贫血改善，肌瘤和子宫体积明显缩小。结论：超选择性双侧子宫动脉栓塞治疗子宫肌瘤是一种微创、安全、有效的新方法。

Interventional therapy in the treatment of hysteromyoma]

OBJECTIVE: To study the clinical effect of bilateral super-selective arterial embolism therapy in the treatment of fibroids. METHODS: Twenty-eight cases of symptomatic uterine myoma were treated by Seldinger's bilateral super-selective uterine artery embolization. The changes of the clinical symptoms and volume of the uterus and myoma were observed with a mean follow-up of 3 and 6 months. RESULTS: Arteriography showed that hysteromyomas were bloody tumor, supplied by bilateral uterine arteries. The blood supply of uterine myoma could be occluded and pathological vessel signs of myoma disappeared after bilateral uterine artery embolization. With a mean follow-up of 3 and 6 months, the menorrhagia and menstrual cycles returned to normal and anemia was improved. The volume of the uterus and myoma was obviously smaller. CONCLUSION: Bilateral super-selective uterine artery embolization is a new, safe and effective method for the treatment of uterine myoma.