经子宫动脉介入治疗子宫腺肌病的近期疗效探讨

目的 探讨经导管栓塞双侧子宫动脉(TUAE)治疗子宫腺肌病的疗效。方法 对16例愿意接受该方法的患者，分别经导管、双侧子宫动脉注入超液化碘油、平阳霉素混合乳剂(PLE)加明胶海绵颗粒栓塞。术后3、6个月复查观察疗效。结果 痛经完全缓解占81．25％、明显缓解占18．75％：B超复查：术后6个月子宫体积平均缩小45．98％、局限病灶体积平均缩小58．83％：贫血患者血红蛋白值均有明显升高或恢复正常。结论 经子宫动脉介入治疗子宫腺肌病近期疗效满意。

Recent curative effect of adenmyosis by interventional technique through uterine artery

Objective To investigate the effieienly of tran scathete r uterine artery embolization(TUAE) for the treatment of adenomyosis. Methods Sixt een cases recrived the treatmeat willingly. Bilateral uterine arterial embolizat ion with Lipiodol ping yang mycm emulsion and Gel foam panicles was carried out in all patients.3-6 months later, curative effect was observed after the opera tion. Results Complete disappearance of menstrual pain was obtained in 81.25% , and obvious improvemeat 18.75% .(Ultrasonic reexamination) 6 months after TUAE , the uterine volume was decreased by a mean of 45.98% and the volume of the l ocalized lesions was decreased by a mean of 58.83% . The hemoglobin concentrati on of the patients with hanemia was significantly increased or restoted to norma l after the surgery. Conclusion TUAE shows good short term effect in the treatme nt of adenomyosis.