介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2010年
4期
322-324
,共3页
王省白%沈育艳%陆黎明%万伟荣%陆金霞%马瑞芬
王省白%瀋育豔%陸黎明%萬偉榮%陸金霞%馬瑞芬
왕성백%침육염%륙려명%만위영%륙금하%마서분
子宫动脉%栓塞%治疗性%子宫肌瘤
子宮動脈%栓塞%治療性%子宮肌瘤
자궁동맥%전새%치료성%자궁기류
uterine artery%embolization,therapeutic%hysteromyoma
目的 评价经导管子宫动脉栓塞(UAE)对子宫肌瘤的疗效及影响疗效的有关因素.方法 对45例子宫肌瘤患者进行超选择性子宫动脉栓塞,其中肌瘤多发36例,单发9例;肌瘤位于肌层41例(其中5例伴有子宫腺肌症,2例伴有黏膜下肌瘤);位于黏膜下4例.子宫肌瘤的诊断经影像学检查和妇科检查确定.术后超声、化验检查观察瘤体及激素水平和血红蛋白变化.结果 45例患者91支子宫动脉(1例左侧为双子宫动脉)插管成功87支,成功率95.6%.45例均获随访,随访时间6~36个月.术后6个月肿瘤体积平均缩小69.3%,3例子宫肌瘤消失.贫血病例,血红蛋白升至正常.主要不良反应为下腹部疼痛和低热.结论 子宫动脉栓塞是治疗子宫肌瘤的安全有效的方法.
目的 評價經導管子宮動脈栓塞(UAE)對子宮肌瘤的療效及影響療效的有關因素.方法 對45例子宮肌瘤患者進行超選擇性子宮動脈栓塞,其中肌瘤多髮36例,單髮9例;肌瘤位于肌層41例(其中5例伴有子宮腺肌癥,2例伴有黏膜下肌瘤);位于黏膜下4例.子宮肌瘤的診斷經影像學檢查和婦科檢查確定.術後超聲、化驗檢查觀察瘤體及激素水平和血紅蛋白變化.結果 45例患者91支子宮動脈(1例左側為雙子宮動脈)插管成功87支,成功率95.6%.45例均穫隨訪,隨訪時間6~36箇月.術後6箇月腫瘤體積平均縮小69.3%,3例子宮肌瘤消失.貧血病例,血紅蛋白升至正常.主要不良反應為下腹部疼痛和低熱.結論 子宮動脈栓塞是治療子宮肌瘤的安全有效的方法.
목적 평개경도관자궁동맥전새(UAE)대자궁기류적료효급영향료효적유관인소.방법 대45례자궁기류환자진행초선택성자궁동맥전새,기중기류다발36례,단발9례;기류위우기층41례(기중5례반유자궁선기증,2례반유점막하기류);위우점막하4례.자궁기류적진단경영상학검사화부과검사학정.술후초성、화험검사관찰류체급격소수평화혈홍단백변화.결과 45례환자91지자궁동맥(1례좌측위쌍자궁동맥)삽관성공87지,성공솔95.6%.45례균획수방,수방시간6~36개월.술후6개월종류체적평균축소69.3%,3례자궁기류소실.빈혈병례,혈홍단백승지정상.주요불량반응위하복부동통화저열.결론 자궁동맥전새시치료자궁기류적안전유효적방법.
Objective To assess the effectiveness of uterine arterial embolization for the treatment of hysteromyomas and to discuss the factors related to the clinical results.Methods Super-selective uterine arterial embolization was performed in forty-five patients with hysteromyomas.Of 45 patients,multiple hysteromyomas were seen in 36 and solitary lesion in 9.The lesion was located at the myometrium in 41 cases,among them coexisted endometrioma was found in 5 cases and coexisted submucosal myoma in 2.The lesion was located submucous layer in the remaining 4 cases.The diagnosis was confirmed by imaging study and gynecological examination.After the operation,ultrasonography and laboratory tests were carried out in all patients to observe the tumor size.hormone levels and hemoglobin concentration.Results A total of 91 uterine arteries were found in 45 patients.including double left uterine arteries in one case.Successful catheterization was obtained in 87 arteries(95.6%).All forty-five patients were followed up for 6-36 months.Six months after the procedure the mean reduction of the tumor size was 69.3%.and the lesion completely disappeared in two cases.In the anemic patients the hemoglobin concentration returned to normal level.The main side-effects included low fever and pain at lower abdomen.Conclusion Uterine arterial embolization is a safe and effective treatment for hysteromyomas.