移动医疗(医学百事通)子宫肌瘤栓塞治疗500例观察.pptVIP

子宫肌瘤栓塞治疗的进展 免费健康咨询（医学百事通） 医学百事通网址： 栓塞在子宫肌瘤治疗手段中地位的确立(2007) 1995年Ravina首先在Lancet上报道了子宫肌瘤栓塞治疗； 两个随机对照研究结果最终确立栓塞在子宫肌瘤治疗手段的地位 REST trial Edwards RD, Moss JG, Lumsden MA et al. Uterine-artery embolization versus surgery for symptomatic uterine fibroids. N Engl J Med 2007; 356: 360–370. EMMY trial Volkers NA, Hehenkamp WJ, Birnie E et al. Uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids: 2 years’ outcome from the randomized EMMY trial. Am J Obstet Gynecol 2007; 196(6): 519. e1–e11. 最终确认栓塞治疗是子宫肌瘤中除子宫切除外的一种安全有效的治疗方法！ 长期疗效 Walker WJ Barton-Smith P. Long-term follow up of uterine artery embolisation – an effectivealternative in the treatment of fibroids. Br J Obstet Gynaecol 2006; 113: 464–468. 子宫肌瘤栓塞治疗的有效率长期而稳定！ 影响疗效的因素 影响疗效的因素 栓塞不完全 子宫动脉主干栓塞不完全 仅作单侧子宫动脉栓塞 子宫栓塞不完全 其他供血动脉（卵巢动脉、变异子宫动脉） 肌瘤过大 诊断问题（月经量过多或经期延长！） 插管技术 子宫肌瘤栓塞治疗并发症 Edwards RD, Moss JG, Lumsden MA et al. Uterine-artery embolization versus surgery for symptomatic uterine fibroids. N Engl J Med 2007; 356: 360–370. Volkers NA, Hehenkamp WJ, Birnie E et al. Uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids: 2 years’ outcome from the randomized EMMY trial. Am J Obstet Gynecol 2007; 196(6): 519. e1–e11. Siskin GP, Shlansky-Goldberg RD, Goodwin SC et al. A prospective multicenter comparative study between myomectomy and uterine artery embolization with polyvinyl alcohol microspheres: longterm clinical outcomes in patients with symptomatic uterine fibroids. J Vasc Interv Radiol 2006; 17:1287–1295. Dutton S, Hirst A, McPherson K et al. A UK multicentre retrospective cohort study comparing hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids (HOPEFUL study): main results on medium-term safety and efficacy. Br J Obstet Gynaecol 2007;114: 1340–1351. Wu O, Briggs A, Dutton S et al. Uterine artery embolisation or hysterectomy for the treatment of symptomatic uterine fibroids: a cost-util