子宫肌瘤及其动脉栓塞治疗详解演示文稿.pptVIP

* * 栓 塞 材 料 聚乙烯醇（polyvinyl alcohol, PVA ）颗粒，直径500~700um（Ivalon） 真丝线段 明胶海绵 碘化油＋平阳霉素 精品课件资料 * * 精品课件资料 * * 操 作 步 骤 股动脉穿刺 超选择性插管至子宫动脉 注入栓塞剂 精品课件资料 * * UAE 技术难点 超选择性动脉插管技术 微导管和微导丝的应用 精品课件资料 * * 精品课件资料 * * 精品课件资料 * * PRE and POST UAE 精品课件资料 * * 精品课件资料 * * 精品课件资料 * * 精品课件资料 精品课件资料 子宫肌瘤及其动脉栓塞治疗详解演示文稿 * 精品课件资料 优选子宫肌瘤及其动脉栓塞治疗 * 精品课件资料 * * UTERINE FIBROID Benign tumor of uterine smooth muscle Fibroids are not thought to be pre-cancerous Also known as myomas（肌瘤） or leiomyomas（平滑肌瘤） Types: submucosal, intramural, and subserosal 精品课件资料 * * LOCATION OF UTERINE FIBROIDS 精品课件资料 * * 精品课件资料 * * SYMPTOMS OF UTERINE FIBROIDS Menorrhagia（Heavier and longer menstrual bleeding）, sometimes with passage of blood clots. Anemia can occur if bleeding is severe Pain, pressure, or feeling of fullness in the abdomen, pelvis or lower back Frequent urination or constipation（便秘） Pain and bleeding during or after intercourse Infertility or miscarriage 精品课件资料 * * TREATMENT surgery micropuncture UAE HIFU RF medication Chinese tradition medicine 精品课件资料 * * HYSTERECTOMY Surgical removal of uterus and fibroids, performed through abdominal incision or occasionally vaginally, sometimes with a laparoscope Advantages: 100% Curative, No risk of future cancer, Well established procedure Disadvantages: major surgery with potential surgical complications: ureteral injury, infection, adhesions (scarring), loss of child bearing potential: emotional ? sexual ? 精品课件资料 * * MYOMECTOMY Individual fibroids are resected through an abdominal incision or sometimes with a laparoscope or hysteroscope Advantages: Fertility can be preserved , well established procedure, less invasive if laparoscopic or hysteroscopic 精品课件资料 * * MYOMECTOMY DISADVANTAGES Potential surgical complications as with hysterectomy Only part of uterus is treated and recurrence can occur 15 to 25 % need repeat procedure usually hysterectomy Not all fibroids amenable to myomectomy Adhesions can lead to infertility