子宫平滑肌瘤栓塞治疗的临床观察.pdfVIP

海南医学院学报 2008，14(4) 344 Journa／ofHainan Medical College 子宫平滑肌瘤栓塞治疗的I艋床观察 曾明喜，陈 梅 (江苏省淮安市楚州医院介入科，江苏淮安 223200) [摘要]目的：评价经导管子宫动脉栓塞(UAE)对子宫肌瘤的治疗效果。方法：回顾分析了2002年7月 ～ 2006年3月38例资料完整、诊断明确、有随访记录的子宫肌瘤行UAE的病例。主要症状包括经量增 多、尿频、下腹坠胀疼痛及贫血等。其中双侧子宫动脉栓塞23例，单侧15例，栓塞剂采用PVA加明胶 海绵颗粒。结栗：38例UAE后临床症状明显改善；经量增多下腹部坠胀消失。栓塞后3个月复查B 超，瘤体体积缩小38 84．6％。结论：UAE治疗子宫肌瘤具有微创性、方便灵活性及适应证宽、疗效好 等特点，将成为子宫肌瘤治疗新方法之一。 [关键词]子宫；平滑肌瘤；放射摄影术；介入性 [中图分类号】R737．33 [文献标识码】A [文章编号]1007．1237(2008】04-0344-03 Evaluation of treatment of uterine leiomyoma using transcatheter uterine arterial emboli- zation ZENG Ming—xi，CHEN Mei (Department ofRadiology，Chuzhou Hospital ofHuaian City，Jiangsu Province，Huaian 223200，China) [ABSTRACT]Objective：To evaluate the effect of uterine arterial embolization(UAE)in the management of uterine leiomyoma．Methods：Thirty eight patients with uterine leiomyoma undergoing UAE from June 1 998 to March 2003 were analyzed retrospectively，whose clinical symptoms were refractory vaginal bleeding，pelvic eom． pression and pain，anemia，etc．Bilateral arterial embolization was performed in 23 cases，unilateral arterial embo． 1ization in 15 cases．The embolie materials were polyvinyl alcohol(PVA)and gelatin sponge particles．Results： Three months after the treatment，the size of the uterine leiomyoma decreased markedly(38 84．6％)according to the sonographieal examination，the clinical symptoms relieved markedly；there was no severe complication．Con— clusion：Treating uterine leiomyoma through UAE is effective，mininvasive，safe and convenient，has extensive in． dieation．UAE may be a promising new method for the treatment of uterine leiomyoma． [KEY WORDS]Uterus；Leiomyoma；Radiography；Intervention 子宫平滑肌瘤(UF)是女性最常见的盆腔肿瘤， 病例，现报道如下。 在3O岁以上的女性人群中，其发生率达20％～ 1 材料与方法 40％。UF的传统治疗主要采用手术及药物治疗，但 1．1 临床资料 存在一定的局限性。近年来欧美及国内一些学者报 本组子宫肌瘤38例，年龄28～5