中华介入放射学电子杂志
中華介入放射學電子雜誌
중화개입방사학전자잡지
2013年
1期
31-35
,共5页
苏浩波%顾建平%楼文胜%何旭%谢静燕%陈亮%陈国平%宋进华施万印%汪涛%赵伯翔%ZHAO Bo-xiang
囌浩波%顧建平%樓文勝%何旭%謝靜燕%陳亮%陳國平%宋進華施萬印%汪濤%趙伯翔%ZHAO Bo-xiang
소호파%고건평%루문성%하욱%사정연%진량%진국평%송진화시만인%왕도%조백상%ZHAO Bo-xiang
卵巢静脉%盆腔淤血综合征%栓塞治疗%Glubran-2胶
卵巢靜脈%盆腔淤血綜閤徵%栓塞治療%Glubran-2膠
란소정맥%분강어혈종합정%전새치료%Glubran-2효
Ovarican vein%Pelvic congestion syndrome%Embolotherapy%Glubran-2 acrylic glue
目的:探讨 Glubran-2胶栓塞卵巢静脉治疗盆腔淤血综合征( pelvic congestion syndrome,PCS)的临床疗效及应用价值。方法2009年1月至2012年6月,采用Glubran-2胶对12例PCS患者(年龄36~65岁,中位年龄45.2岁)进行卵巢静脉栓塞治疗。临床疗效观察以问卷方式采集,了解患者术前及术后1、3、6和12个月盆腔疼痛症状改善程度,以及有无手术相关的不适症状、并发症等。疼痛症状改善程度用视觉模拟评分法( VAS)进行评估分析。治疗前后疼痛评分比较采用配对t检验结果应用Glubran-2胶栓塞卵巢静脉技术成功率100%,无并发症发生。12例患者中术后问卷调查达到治愈3例(25.0%),好转8例(66.7%),总有效率91.7%;无效1例(8.3%)。随访VAS评分调查显示栓塞术后慢性盆腔疼痛程度评分显著改善[术前(6.4±1.8)分,术后12个月随访(1.8±2.2)分,P<0.05]。结论应用Glubran-2胶进行PCS的介入治疗是安全、有效的。
目的:探討 Glubran-2膠栓塞卵巢靜脈治療盆腔淤血綜閤徵( pelvic congestion syndrome,PCS)的臨床療效及應用價值。方法2009年1月至2012年6月,採用Glubran-2膠對12例PCS患者(年齡36~65歲,中位年齡45.2歲)進行卵巢靜脈栓塞治療。臨床療效觀察以問捲方式採集,瞭解患者術前及術後1、3、6和12箇月盆腔疼痛癥狀改善程度,以及有無手術相關的不適癥狀、併髮癥等。疼痛癥狀改善程度用視覺模擬評分法( VAS)進行評估分析。治療前後疼痛評分比較採用配對t檢驗結果應用Glubran-2膠栓塞卵巢靜脈技術成功率100%,無併髮癥髮生。12例患者中術後問捲調查達到治愈3例(25.0%),好轉8例(66.7%),總有效率91.7%;無效1例(8.3%)。隨訪VAS評分調查顯示栓塞術後慢性盆腔疼痛程度評分顯著改善[術前(6.4±1.8)分,術後12箇月隨訪(1.8±2.2)分,P<0.05]。結論應用Glubran-2膠進行PCS的介入治療是安全、有效的。
목적:탐토 Glubran-2효전새란소정맥치료분강어혈종합정( pelvic congestion syndrome,PCS)적림상료효급응용개치。방법2009년1월지2012년6월,채용Glubran-2효대12례PCS환자(년령36~65세,중위년령45.2세)진행란소정맥전새치료。림상료효관찰이문권방식채집,료해환자술전급술후1、3、6화12개월분강동통증상개선정도,이급유무수술상관적불괄증상、병발증등。동통증상개선정도용시각모의평분법( VAS)진행평고분석。치료전후동통평분비교채용배대t검험결과응용Glubran-2효전새란소정맥기술성공솔100%,무병발증발생。12례환자중술후문권조사체도치유3례(25.0%),호전8례(66.7%),총유효솔91.7%;무효1례(8.3%)。수방VAS평분조사현시전새술후만성분강동통정도평분현저개선[술전(6.4±1.8)분,술후12개월수방(1.8±2.2)분,P<0.05]。결론응용Glubran-2효진행PCS적개입치료시안전、유효적。
Objective To evaluate the therapeutic effectiveness of ovarian vein embolization using Glubran-2 acrylic glue for pelvic congestion syndrome ( PCS ) .Methods Between January 2009 and June 2012,12 patients ( mean age, 45.2years;range, 36-65 years ) were diagnosed with PCS and underwent ovarian vein Glubran-2 acrylic glue embolization .Follow-up was performed by physical examination and a questionnaire-based assessment of pain at 1,3,6,and 12 months after the procedure .In addition,in those cases where pain persisted after embolization or where patients were dissatisfied with the procedure ,additional treatments and subsequent changes in pain scores were also analyzed by visual analogue scale ( VAS ) . Results Technical success was achieved in all patients (100%) with no complications .Among a total of 12 patients,91.7%(11/12) were observed a statistically significant improvement in each category of specific symptoms at 1,3,6,and 12 months after the procedure .1 patients(8.3%,1/12)responded that the pain level had not changed .Pain score( VAS) was 6.4 ±1.8 pre-procedural versus 1.8 ±2.2 at the end of follow-up (P<0.05).Conclusion Ovarian vein embolization using Glubran-2 acrylic glue is a safe and effective therapeutic method for treatment of PCS .