子宫动脉栓塞术治疗子宫肌瘤对血流动力学的影响.docVIP

子宫动脉栓塞术治疗子宫肌瘤对血流动力学的影响 【摘要】目的：探讨子宫动脉栓塞术（UAE）对子宫肌瘤患者血流动力学的影响。方法：将164例子宫肌瘤患者随机分为两组。观察组：82例患者，接受UAE治疗；对照组：82例患者，接受米非司酮治疗。比较两组患者的瘤体血流改善情况。结果：观察组的血流改善情况较好，瘤体的血流显著降低。治疗前两组患者的各个指标间差距较小。在治疗12周后，观察组SPV是（43.96±2.38）cm/s，而对照组则是（49.43±2.85）cm/s，差异存在统计学意义(P0.01)；观察组EDV是（19.37±1.36）cm/s，而对照组则是（10.36±1.29）cm/s，差异存在统计学意义(P0.01)。观察组PI是（2.37±0.22），对照组是（1.96±0.37），差异存在统计学意义(P0.01)；观察组RI是（0.93±0.07），而对照组则是（0.75±0.46），差异存在统计学意义(P0.01)。结论： UAE治疗子宫肌瘤可改善患者的瘤体血流，临床疗效确切。 【关键词】子宫动脉栓塞术；子宫肌瘤；血流动力学 Impact of uterine artery embolization treating uterine fibroids on hemodynamics Gu Liduan. Traditional Chinese Medicine Hospital of Wuhua County in Meizhou. Guangdong Province 514400 [Abstract] Objective To study the impact of uterine artery embolization on hemodynamics. Methods 164 patients with uterine fibroids were randomly divided into two groups. Observation group: 82 cases of patients, underwent UAE therapy; Control group: 82 cases of patients, treated with mifepristone. Improved blood flow of tumors of patients in two groups was compared. Results Blood flow in observation group was better. Blood flow of the tumors had a greater improvement. Gaps of all indexes between the two groups of patients before treatment were smaller. The SPV in 12 weeks after treatment, the observation group was (43.96?2.38) cm/s, and the control group was (49.43 ?2.85) cm/s, and there was statistical significance difference (P 0.01); EDV in observation group was (19.37?1.36) cm/s, and the control group was (10.36?1.29) cm/s, and there was statistical significance difference (P 0.01). PI in treatment group was (2.37 ? 0.22), and the control group was (1.96 ?0.37), and there was statistical significance difference (P 0.01); RI in observation group was (0.93?0.07), while the control group was (0.75?0.46), and there was statistical significance difference (P 0.01). Conclusion UAE treating patients with uterine fibroids can improve blood flow of tumors, and its clinical curative effect is good. [Key words] uterin