摘要
目的评价3种栓塞剂联合应用栓塞子宫动脉治疗子宫肌瘤的临床价值,寻找理想的栓塞剂及使用方法。方法对46例有症状的子宫肌瘤患者,行双侧子宫动脉造影,根据血供情况经导管向双侧子宫动脉注入平阳霉素碘油乳剂、真丝线段及明胶海绵进行栓塞。结果子宫肌瘤血供丰富,多数由双侧动脉供血,栓塞术后3、6个月B超检查肌瘤体积均明显缩小,月经周期恢复正常、月经量恢复正常或减少占96.7%,腹痛、贫血等症状明显改善,尿频、排尿障碍和便秘等压迫症状也有不同程度的缓解。结论3种栓塞剂联合应用栓塞子宫动脉治疗子宫肌瘤效果好且廉价、安全,值得推广。
[Objective] To study the clinical value of interventional therapy of uterine arterial embolization with triple embolie agents for treating uterine fibroids, [Methods] Superseleetive angiography was performed in 46 cases with symptomatic uterine fibroids, then pingyangmyein-lipodol emulsion （PLE） silk particles and gelatin sponge were infused into the bilateral uterine arteries for embolization according to the blood supplies of the fibroids. [Results] Most uterine fibroids were supplied by bilateral uterine arteries, and follow-up study of B-ultrasonography showed the volume of the fibroids decreased 48.8% after 3 months and 63.3% after 6 months（P 〈0.01）, and menstrual cycles returned to normal and menorrhagia was recovery to normal or deereased significantly in 96.7% of all 46 patients, and clinical symptoms were improved. [ Conclusion] Uterine arterial embolization with the eombinative usage of PLE silk particles and gelatin sponge for treating uterine fibroids is safe, economical and effective.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第18期2279-2281,共3页
China Journal of Modern Medicine
关键词
子宫肌瘤
栓塞剂
子宫动脉
embolic agents
uterine fibroids
therapeutic
interventional
