子宫肌瘤介入治疗远期疗效观察

目的评价子宫动脉栓塞术治疗子宫平滑肌瘤的远期疗效。方法对51例子宫平滑肌瘤患者进行超选择性子宫动脉栓塞术，B超、CT动态观察瘤体变化。结果栓塞双侧子宫动脉51例。50例完整随访者术后12～36个月，平均24个月，2例子宫肌瘤消失，48例肌瘤体积平均缩小68．4％，未发现肌瘤复发。临床症状明显改善。主要不良反应为下腹部疼痛（32／51）。结论子宫动脉栓塞是治疗子宫平滑肌瘤的良好方法。

Long-term effectiveness of interventional therapy for uterine fibroids

Objective To evaluate the effectiveness of superselective uterine arterial embolization for uterine fibroids.Methods Uterine arterial embolization was performed in 51 patients with uterine fibroids.The variety of uterine fibroids was observed with ultrasonography or CT.Results Bilateral superselective uterine arterial embolization were performed in 51 cases.12-36 months(mean 24 months) after the procedure,complete disappearance of tumor(2 cases),an average shrinkage of 68.4% in tumor volume(48 cases) were obtained in 50 followed-up cases.The cases of recurrence had not discovered.The clinical symptoms were relieved significantly.The main side effects were hypogastic pain(32/51).Conclusion Superselective uterine arterial embolization is an effective and microinvasive method in treating uterine fibroids.