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子宫动脉栓塞术治疗子宫腺肌病的近期疗效观察 被引量：10

Uterine arterial embolization for treatment of adenomyosis:recent results
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摘要 目的探讨子宫动脉栓塞术治疗子宫腺肌病的近期临床效果。方法对我院18例经MRI诊断为子宫腺肌病的患者行子宫动脉栓塞术，采用Seldinger技术经股动脉穿刺，将导管选择性插入双侧子宫动脉，应用PVA（500～700gin）与碘佛醇混匀后在透视下经导管缓慢推注将子宫动脉栓塞。阻断异位内膜病灶血供，术后定期复查磁共振观察病灶体积及信号等变化。对所有患者随访至术后2月。结果治疗后11例患者痛经完全缓解消失，6例明显缓解，1例变化不明显；子宫体积由治疗前的（208．5±70．9）cm2，缩小至治疗后的（176．7±57．2）cm。（P〈0．01）。结论子宫动脉栓塞术能有效缓解子宫腺肌病患者痛经程度、缩小子宫体积，是一种安全、有效的治疗方法。 Objective To explore the curative effects of uterine arterial embolization for adenomyosis. Methods There were 18 patients with adenomyosis diagnosed by MR, bilateral UAE was perfomed by Seldingers technique in these pa- tients. All these cases were followed up for 2 months after operation and the effect of UAE was obseved by MR. Results Two months after UAE, dysmenorrhe was alleviated obsviously in most of the patients （ P 〈0.01）. The uterine volume was reduced from （208.5±70.9） em3 to （176.7±57.2） cm3. Conclusion UAE is a minor trauma and effective treatment for adenomyosis.
作者 梁鹏 刘峰 孙业全 董鹏 曹贵文
机构地区 山东省潍坊市市直机关医院放射科 潍坊医学院附属医院影像中心
出处 《医学影像学杂志》 2013年第9期1448-1451,共4页 Journal of Medical Imaging
基金 山东省高等学校科技计划项目资助(编号:J10LF15)
关键词 子宫腺肌病 栓塞治疗 痛经 磁共振成像 Adenomyosis embolization therapy dysmenorrhea Magnetic resonance imaging
分类号 R445.2 [医药卫生—影像医学与核医学]
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参考文献10

  • 1乐杰.妇产科学[M]第5版[M].北京：人民卫生出版社,2001.129-257.
  • 2Kim MD, Won JW, Lee DY, et al. Uterine artery emboliza tion for adenomyosis without fibroids [J]. Clin Radiol, 2004, 59: 520-526.
  • 3Tokushige N, Markham R, Russell P, et al. High density of small nerve fibers in the functional layer of the endometrium in women with endometriosis [J]. Hum Reprod, 2006, 21: 782-787.
  • 4於永爱,金仙玉.子宫内膜异位症疼痛机制[J].中国妇产科临床杂志,2011,12(5):398-400. 被引量：7
  • 5Colltte S, Lousse JC, Defrere S, et al. Absence of aromatase protein and mRNA expression in endometriosis [J]. Hum Report, 2009, 24: 2133-2141.
  • 6Agic A, Xu H, Finas D, et al. Is endometriosis associated with systemic subclinical inflammation [J]. Gynecol Obstet Invest, 2006, 62:139- 147.
  • 7姜涛,尹吉梅,张卫平,赵延吉,季晓华,张玲玲,周锡香,李节良,田维泽.选择性子宫动脉栓塞术治疗子宫肌瘤的临床应用[J].医学影像学杂志,2003,13(10):761-763. 被引量：2
  • 8陈春林,刘萍,吕军,余莉萍,马奔,王锦江,刘佩鸣.子宫动脉栓塞术在子宫腺肌病治疗中的应用[J].中华妇产科杂志,2002,37(2):77-79. 被引量：139
  • 9张伟国,李力,罗香国,陈金华,严景恩,陈蓉,王毅.子宫腺肌病的MRI与DSA研究[J].中国医学影像技术,2005,21(9):1416-1418. 被引量：3
  • 10Atzori E. Sonography for the diagnosis of adenomyosis [J]. Ultrasound Obstet Gynecol, 2003, 21:626 -627.

二级参考文献40

  • 1Agic A, Xu H, Finas D, et al. Is endometriosis associated with systemic subclinical inflammation. Gynecol Obstet Invest, 2006, 62.. 139-147.
  • 2Tokushige N, Markham R, Russell P, et aL High density of small nerve fibers in the functional layer of the endometrium in women withendometriosig HurnReprod, 2006, 21: 782-787.
  • 3GTokushige N, Markham R, Russell P, et al. Different types of small nerve fibers in eutopie endometriosis and myometrium in women with endometriosis. Fertil Steril, 2007, 88.. 795-803.
  • 4GTokushige N, Markham R, Russell P, et al. Effects of hormonal treatment on nerve fibers in endometrium and myometrium in women with endometriosis. Fertil Steril, 2008, 90: 1589- 1598.
  • 5Gal- Jefout M, Andredis N, Tokushige N, et al. A pilot study to evaluate the relative efficacy of endometrial biopsy and full curettage in making a diagnosis of endometriosis by the detection of endometrial nerve fibers. Am J Obstet Gvnecol, 2007. 197, 578. e1-e4.
  • 6Gal--Jefout M, Dezarnaulds G, Cooper M, et al. Diagnosis of endometrlosis by detection of nerve fibers in an endometrial biopsy: a double blind study. Human Reprod --uetion, 2009, 24: 3019-3024.
  • 7Mechsner S, Kaiser A, Kopf A, et al. A pilot study to evaluate the clinical relevance of endometriosis- associated nerve fibers in peritoneal endometriotic lesions. Fertil Steril, 2009, 92: 1856--1861.
  • 8Wang G, Tokushige N, Markham R, et al. Rich innervation of deep infiltrating endometriosis. Hum Reprod, 2009, 24.. 827 - 834.
  • 9Tokushige N, Markham R, Russell P, et al. Nerve fibers in peritoneal endometriosis. Hum Reprod, 2006, 21: 3001 - 3007.
  • 10Nascu PC, Vilos GA, Ettler HC, et al. Histopathologic findings on uterosacral ligaments in women with chronic pelvic pain and visually normal pelvis at laparoscopy. J Minim Invasive Gynecol, 2006, 61:1 - 3.

共引文献339

同被引文献64

  • 1孙爱军,甄璟然,钟森,田秦杰,郁琦,何方方.腹腔镜下改良子宫腺肌瘤剔除术[J].中国实用妇科与产科杂志,2007,23(8):647-648. 被引量：20
  • 2丰有吉,沈铿.妇产科学[M].2版.北京:人民卫生出版社,2012:368.
  • 3Leyendecker G,Wildt L, Mall G. The pathophysiology of endometriosis and adenomyosis: tissue injury and repair [J]. Arch Gynecol Obstet, 2009,280 (4): 529 - 538.
  • 4Siskin GP, Tublin ME, Stainken BF, et al. Uterine ar- tery embolization for the treatment of adenomyosis: clini- cal response and evaluation with MR imaging [J]. AJR Am J Roentgenol,2001,177(2) :297-302.
  • 5Bratby MJ, Walker WJ. Uterine artery embolisetion for symptomatic adenomyesis mid-term results[J]. Eur J Radiol,2009,70(1) :128-132.
  • 6Kim MD,Kim S,Kim NK,et al. Long-term results of uterine artery embolization for symptomatic adenomyosis [J]. AIR Am J Roentgenol,2007,188(1) : 176 - 181.
  • 7Cox DJ,Meyer RG. Behavioral treatment parameters with primary dys-menorrheal[J].Journal of Behavioral Medicine,1978,(03):297-310.
  • 8Jensen MP,Karoly P,Braver S. The measurement of clinic pain intensity:a comparison of six methods[J].PAIN,1986,(01):117-126.
  • 9Tokushige N,Markham R,Russell P. Highdensity of small nerve fibersin the functional layer of the endometriumin women with endometriosis[J].Human Reproduction,2006.782-787.
  • 10李亚里;姚元庆.妇产科聚焦:新理论、新技术、新进展与临床实践[M]北京:人民军医出版社,2011206-210.

引证文献10

二级引证文献32

医学影像学杂志
2013年 第9期

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