子宫动脉栓塞术介入治疗症状性子宫肌瘤

目的:探讨症状性子宫肌瘤经导管子宫动脉栓塞术介入治疗的临床疗效。方法:对48例症状性子宫肌瘤患者选择性子宫动脉栓塞术,观察术后症状缓解情况和肌瘤缩小情况。结果:46例栓塞双侧子宫动脉,2例栓塞单侧子宫动脉。随访3～12个月,47例患者临床症状明显改善,1例超大肌瘤者8个月后复发,手术切除,1例肌瘤术后脱落、超声复查消失。B超显示瘤体缩小43%～92%。最主要的并发症为术后下腹部疼痛。结论:子宫动脉栓塞术是一种安全、有效的治疗子宫肌瘤的方法。

Interventional therapy in treating symptomatic hysteromyoma by uterine artery embolisation

Objective To discuss the clinical effect of interventional therapy in treating symptomatic hysteromyoma by uterine artery embolisation. Method Total 48 cases of symptomatic hysteromyoma were treated by uterine artery embolisation,then the effect of alleviating the symptoms and shrinking hysteromyoma were observed. Results For 46 cases were treated with bilateral uterine artery embolisation, and 2 cases with unilateral. Follow up study was for 3 ~ 12 months, symptoms of 47 cases were improved, 1 case of oversized hysteromyoma recrudesced in 8 months and was removed in operation, 1 case of myoma fell off and disappeared in ultrasound. B - ultrasound showed that body of myoma shrinked by 43% - 92%. The main complication was lower abdominal pain. Conclusion Uterine artery embolisation is a safe and effective method to cure hysteromyoma embolism.