摘要
目的观察子宫动脉栓塞术(UAE)对子宫肌瘤的治疗效果,并分析影响疗效的因素。方法46例症状性子宫肌瘤患者经超选择性插管双侧子宫动脉内注入PVA微粒栓塞治疗,术后6、9个月随访复查,观察临床症状改善,肌瘤体积变化情况,并对临床上治疗效果与多种不同的影响因素进行分析。结果UAE术后临床症状改善,尤其以子宫出血症状改善最为明显,栓塞后6个月肌瘤体积平均缩小45.6%,9个月肌瘤体积平均缩小58.4%。盆腔内血管解剖、内分泌、栓塞技术及肌瘤类型等因素影响子宫肌瘤栓塞后的疗效。结论双侧子宫动脉栓塞治疗子宫肌瘤是一种安全、有效的方法,其疗效与盆腔内血管解剖、内分泌、栓塞技术及肌瘤类型等多种因素有关。
Objective To observe the effect of uterine artery embolization for the treatment of uterine fibroids and analyze the influencing factors. Methods 46 cases with symptomatic uterine myoma were treated by superselective catheterization of the bilateral uterine arteries using PVA particles . All patients were followed up for 6 - 9 months after uterine artery embolization to observe the improvement about symptoms and the changes of fibroid volume. The different clinical effects and the various factors were analyzed. Results The clinical symptoms improved significantly,especially the bleeding of uterus.The average volume of fibroids decreased 45.6 % in 6 months, 58.4 % in 9 months after the proceduce. A lot of factors ,including blood vessel anatomy,endocrine secretion, embolization technique and fibroid type can effect the clinical efficacy of uterine artery embolization for the treatment of uterine fibroids. Conclusions Selective uterine artery embolization is a new safety and effective method for treatment of uterine myoma. Its clinical effect is correlative with a lot of factors,including blood vessel anatomy,endocrine secretion, embolization technique and fibroid type.
出处
《介入放射学杂志》
CSCD
2006年第4期232-234,共3页
Journal of Interventional Radiology
关键词
子宫肌瘤
子宫动脉
介入放射学
影响因素
Uterine fibroid
Uterine artery
Interverntional radiology
Effective factors
