摘要
目的分析子宫动脉栓塞(UAE)治疗子宫肌瘤期间瘤体血供与卵巢动脉显影和子宫动脉卵巢支的关系及其对术后卵巢功能的影响。方法选取2015年3月至2016年3月武汉市江汉区红十字会医院98例行UAE治疗的子宫肌瘤患者,分析患者瘤体血供与卵巢动脉、子宫动脉卵巢支显影的情况,并探讨其关系。结果在患者中,可显影62例,双侧均匀型31例,占比为50.00%;一侧为主型20例,占比为32.26%;单一侧型11例,占比为17.74%;其中,乏血供侧子宫动脉卵巢支较其他子宫动脉密集(t=8.57,P<0.05)。卵巢动脉显影者的卵巢功能发生一过性障碍,在3个月后可恢复正常状态,同时术后6个月、1年不同血供分型瘤体缩小率的比较无显著性差异(t值分别为1.00、1.63,均P>0.05),子宫动脉卵巢支显影组与无显影组瘤体缩小率比较,亦无显著性差异(t值分别为1.86、1.54,均P>0.05)。结论子宫肌瘤瘤体血供类型与卵巢动脉和子宫动脉卵巢支显影均具有显著相关性,尤其是乏血供侧行UAE治疗期间应密切关注栓塞流量,以期改善患者术后卵巢功能。
Objective To analyze the correlation between blood supply of fibroids and the visualization of uterine artery and ovarian branch in the treatment of uterine fibroids with uterine artery embolization（UAE）and its influence on postoperative ovarian function.Methods Totally 98 patients with uterine fibroids undergoing UAE were selected in Wuhan Red Cross Hospital of Jianghan District from March 2015 to March 2016.The blood supply of fibroids and visualization of uterine artery and ovarian branch was analyzed,and its relationship was analyzed.Results In this group,there were 62 cases of visualization,including 31 cases of bilateral homogeneous,with the ratio of 50.00%,20 cases whose visualization was mainly in one side,with the ratio of32.26%,and 11 cases of single side,with the ratio of 17.74%.The visualization of ovarian artery in the side lack of blood supply was higher than in other uterine artery types（P〈0.05）.The transient ovary functional impairment happened in those with visualization of the ovarian branch,which returned to normal state after 3 months.The minification of fibroids with different types of blood supply after surgery for 6 and 12 months showed no statistically significant（t value was 1.00 and 1.31,respectively,both P〉0.05）.There was no significant difference in minification between visualization group and non visualization group（t value was1.86 and 1.54,respectively,both P〉0.05）.Conclusion Blood supply of uterine myoma is closely correlated with the visualization of ovarian branch and uterine artery.Close attention should be paid to embolism,especially the side lack of blood vessels during UAE to improve the ovarian function after operation.
作者
周海燕
王维香
马卿莲
常剑宏
ZHOU Hal-yan;WANG Wei-xiang;MA Qing-lian;CHANG Jian-hong(Changqing Street Community Health Service Center of J ianghan District,Hubei Wuhan 430000,China;Wuhan Red Crass Hospital of Jianghan District,Hubei Wuhan 430000,China)
出处
《中国妇幼健康研究》
2018年第7期917-920,共4页
Chinese Journal of Woman and Child Health Research
关键词
子宫动脉栓塞
子宫肌瘤
卵巢动脉
子宫动脉卵巢支
卵巢功能
uterine artery embolization （UAE）
uterine fibroid
ovarian artery
ovarian branch
ovarian function
