CAJ | 학술논문

目的：探讨子宫肌瘤的动脉造影及介入栓塞治疗的临床应用。方法对56例症状性子宫肌瘤患者进行超选择性子宫动脉造影和栓塞，随访4~10个月(平均7个月)，观察术后症状缓解情况及子宫肌瘤缩小程度。结果子宫肌瘤的动脉造影表现为子宫动脉明显增粗，分支数量增多、迂曲，子宫体增大、染色明显且排空延迟等。56例完整随访者术后7个月肌瘤体积缩小85.5%，12例肌瘤消失，临床症状均明显改善，且未见明显副作用。结论选择性子宫动脉栓塞治疗症状性子宫肌瘤疗效肯定，值得临床推广。
목적：탐토자궁기류적동맥조영급개입전새치료적림상응용。방법대56례증상성자궁기류환자진행초선택성자궁동맥조영화전새，수방4~10개월(평균7개월)，관찰술후증상완해정황급자궁기류축소정도。결과자궁기류적동맥조영표현위자궁동맥명현증조，분지수량증다、우곡，자궁체증대、염색명현차배공연지등。56례완정수방자술후7개월기류체적축소85.5%，12례기류소실，림상증상균명현개선，차미견명현부작용。결론선택성자궁동맥전새치료증상성자궁기류료효긍정，치득림상추엄。
Objective To explore the clinical application of angiography and interventional embolization of uterine fibroids treatmentMethods In 56 patients with symptomatic uterine fibroids underwent super selective uterine artery angiography and embolization, the fol ow-up of 4-10 months (average 7 months), postoperative symptoms and narrow degree of uterine fibroids.Results Angiography of uterine fibroids showed markedly dilated uterine arteries, branch number, tortuosity, uterine enlargement, staining obvious and emptying delay etc. 56 patients with complete fol ow-up 7 months after operation the myoma volume reduction was 85.5%, 12 cases of disappearance of tumor, clinical symptoms were improved significantly, and no obvious side ef ectConclusionSure of selective uterine artery embolization for treatment of symptomatic uterine fibroids curative ef ect, is worth the clinical promotion.