中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
836-837
,共2页
栓塞,治疗性%肌瘤%子宫%卵巢功能
栓塞,治療性%肌瘤%子宮%卵巢功能
전새,치료성%기류%자궁%란소공능
Embolization,therapeutic%Myoma%Uterus%Ovarian function tests
目的 探讨子宫动脉栓塞术治疗子宫肌瘤的临床疗效及对卵巢功能的影响.方法 52例行子宫动脉栓塞术治疗的子宫肌瘤患者,均随访1年,观察所有受试者的疗效及术后对卵巢功能的影响.结果 术后3个月、6个月、12个月与术前比较,子宫体积、肿瘤体积均明显变小(t =3.23、3.18,均P＜0.05),月经周期延长、月经量增多,子宫肌瘤压迫、贫血患者均明显减少(x2=2.98、4.57、4.42、2.18,均P＜0.05)；至术后12个月,临床症状及体征较术前改善更明显(t =2.66、2.57,x2=3.45、5.12、6.54、3.67,均P＜0.05).术后3个月、6个月、12个月与术前比较,血清雌二醇、孕激素、卵泡刺激素、黄体生成素、泌乳素等水平无明显变化(均P＞0.05).结论 子宫动脉栓塞术治疗子宫肌瘤临床疗效确切,对卵巢功能的影响不明显.
目的 探討子宮動脈栓塞術治療子宮肌瘤的臨床療效及對卵巢功能的影響.方法 52例行子宮動脈栓塞術治療的子宮肌瘤患者,均隨訪1年,觀察所有受試者的療效及術後對卵巢功能的影響.結果 術後3箇月、6箇月、12箇月與術前比較,子宮體積、腫瘤體積均明顯變小(t =3.23、3.18,均P＜0.05),月經週期延長、月經量增多,子宮肌瘤壓迫、貧血患者均明顯減少(x2=2.98、4.57、4.42、2.18,均P＜0.05)；至術後12箇月,臨床癥狀及體徵較術前改善更明顯(t =2.66、2.57,x2=3.45、5.12、6.54、3.67,均P＜0.05).術後3箇月、6箇月、12箇月與術前比較,血清雌二醇、孕激素、卵泡刺激素、黃體生成素、泌乳素等水平無明顯變化(均P＞0.05).結論 子宮動脈栓塞術治療子宮肌瘤臨床療效確切,對卵巢功能的影響不明顯.
목적 탐토자궁동맥전새술치료자궁기류적림상료효급대란소공능적영향.방법 52례행자궁동맥전새술치료적자궁기류환자,균수방1년,관찰소유수시자적료효급술후대란소공능적영향.결과 술후3개월、6개월、12개월여술전비교,자궁체적、종류체적균명현변소(t =3.23、3.18,균P＜0.05),월경주기연장、월경량증다,자궁기류압박、빈혈환자균명현감소(x2=2.98、4.57、4.42、2.18,균P＜0.05)；지술후12개월,림상증상급체정교술전개선경명현(t =2.66、2.57,x2=3.45、5.12、6.54、3.67,균P＜0.05).술후3개월、6개월、12개월여술전비교,혈청자이순、잉격소、란포자격소、황체생성소、비유소등수평무명현변화(균P＞0.05).결론 자궁동맥전새술치료자궁기류림상료효학절,대란소공능적영향불명현.
Objective To discuss the uterus artery embolization of uterine flesh tumour clinical curative effect and influence of ovarian function.Methods Participants included 52 routine uterine artery embolization of uterine flesh tumour patients,all patients were followed up for one year,observed the curative effects of all subjects and the influence of the rightness of ovarian function.Results After treatment,the results showed that the curative effects,after 3 months,6 months,12 months compared with the preoperative,uterine tumor size,volume were significantly smaller,menstrual cycle extended,menstrual quantity increased,uterine fibroids oppression,anemia patients were significantly reduced,the difference was statistically significant (t =3.23,3.18,x2 =2.98,4.57,4.42,2.18,respectively,P ＜ 0.05) ; And after treatment with the extension of time,the symptoms and signs of patients were distinct improvement,the difference was statistically significant (t =2.66,2.57,x2 =3.45,5.12,6.54,3.67,respectively,P ＜ 0.05).After treatment of ovarian function results showed that the effects,after 3 months,6 months,12 months compared with the preoperative,serum levels of estradiol (E2),progesterone (P),follicle-stimulating hormone (FSH),corpus luteum erythropoietin (LH),prolactin (PRL) level had no change,there were no statistically significant differences (P ＞ 0.05).Conclusion Uterine artery embolization for treatment in patients with uterine fibroids has obvious curative effect,and the influence of ovarian function is not obvious.
