CAJ | 학술논문

目的：探讨子宫动脉栓塞术治疗子宫肌瘤的疗效。方法自2010年1月～2013年8月，我科共对19例子宫肌瘤患者进行了子宫动脉栓塞术，年龄35～52岁，平均年龄42岁。症状包括经期延长、月经量增多、尿频等。采用改良Seldinger技术穿刺股动脉后，分别行两侧子宫动脉栓塞。术后随访6个月，观察治疗效果及并发症。结果19例患者均成功行双侧子宫动脉栓塞，技术成功率100％，所有患者临床症状均得到改善，其中2例因子宫肌瘤导致不孕的患者，术后怀孕。术后大多数患者出现下腹痛、发热、阴道不规则流血等症状，无子宫坏死、子宫积脓等严重并发症发生。结论介入治疗对子宫肌瘤患者是一种安全、有效的方法。
목적：탐토자궁동맥전새술치료자궁기류적료효。방법자2010년1월～2013년8월，아과공대19례자궁기류환자진행료자궁동맥전새술，년령35～52세，평균년령42세。증상포괄경기연장、월경량증다、뇨빈등。채용개량Seldinger기술천자고동맥후，분별행량측자궁동맥전새。술후수방6개월，관찰치료효과급병발증。결과19례환자균성공행쌍측자궁동맥전새，기술성공솔100％，소유환자림상증상균득도개선，기중2례인자궁기류도치불잉적환자，술후부잉。술후대다수환자출현하복통、발열、음도불규칙류혈등증상，무자궁배사、자궁적농등엄중병발증발생。결론개입치료대자궁기류환자시일충안전、유효적방법。
Objective To evaluate the efficacy of uterine artery embolization for treatment of uterine fibroids .Methods From January 2010 to August 2013,we completed a total of 19 cases of uterine artery embolization for uterine fibroids patients,aged 35 ~ 52 years old,with an average of 42 years old.Symptoms included prolonged menstruation,menorrhagia, frequency of micturition,etc.Using modified Seldinger technique in femoral artery puncture,we performed bilateral uterine artery embolization.Patients were followed up for six month.We observed the therapeutic effect and complications.Results All of the 19 patients successfully underwent bilateral uterine artery embolization,the success rate was 100%.The clinical symptoms of all patients were improved.Among the 2 cases of infertility with uterine fibroids,the patients were pregnant after operations.Most patients had lower abdominal pain,fever,irregular vaginal bleeding and other symptoms.Serious complications,such as uterine empyema,uterine necrosis didn’ t occur.Conclusion Interventional treatment of uterine fibroids is safe and effective.