子宫肌瘤的动脉栓塞治疗及其对卵巢功能的影响

目的 研究子宫肌瘤的子宫动脉栓塞治疗的方法、疗效，探讨其对卵巢功能可能产生的影响。方法 本级35例患者中子宫肌瘤25例，肌腺瘤10例。对所有病例行股动脉穿刺，对肌瘤供血动肪插管和栓塞，栓塞前、后测定卵巢功能并比较治疗前、后卵巢功能的变化。结果 术后1-12个月复查，患者的瘤体均有明显缩小，平均缩小为原来的42.5%。腹痛和经量增多等症状基本缓解。治疗总有效率为97.3%。栓塞前、后测定卵巢功能无明显变化。结论 子宫肌瘤的动脉栓塞治疗安全有效，创伤小，适应证宽；对卵巢功能无影响，可保留生育功能。

Arterial Embolism of Hysteromyoma and Adenomyoma and its Effect on ovary Function

Objective Investigate the way of uterine arterial embolism of hysteromyoma and adenomyoma,and evaluate the therapeutic effectiveness and its effect on ovary function.Methods There were 35 patients.25 cases were hysteromyoma,10 cases were adenomyoma.In all cases,we punctured femoral artery,intubated the two supplying arteries of uterine,and embolized them.Results The rate of success was 98.3%.Calling back after 1-12 months,myomaes shrunk obviously,the volume were 42.5% of the primary ones averagely.The abdomen pain and dysmenorrhea were decreased.The total effective rate was 97.3%.And there were no serious complication.Conclusion The method of arterial embolism of hysteromyoma was safe and effective with small injury,wide indications,small amount of complications.This therapeutic method does not affect ovary function and can reserve the fertility,and also doesn't affect sexual life and life quality.