CAJ | 학술논문

目的评价不同大小的PVA颗粒在子宫动脉栓塞术(UAE)中的疗效.方法30例明确诊断为子宫肌瘤的患者接受UAE治疗,根据PVA颗粒大小的不同随机分为A组(300-500μm)和B组(500-700μm).疗效的评价以近期临床疗效和栓塞后综合征(包括疼痛、发热、不规则阴道出血或分泌物增多、恶心和呕吐)的持续时间和程度为标准.结果术后6个月A组肌瘤平均缩小50%,临床症状明显改善,副作用为术后下腹部疼痛较重,B组肌瘤平均缩小42.8%,临床症状有改善,下腹部疼痛轻.结论从近期疗效来看,300-500μmPVA颗粒疗效优于500-700μm PVA,中远期疗效正在观察中.
목적평개불동대소적PVA과립재자궁동맥전새술(UAE)중적료효.방법30례명학진단위자궁기류적환자접수UAE치료,근거PVA과립대소적불동수궤분위A조(300-500μm)화B조(500-700μm).료효적평개이근기림상료효화전새후종합정(포괄동통、발열、불규칙음도출혈혹분비물증다、악심화구토)적지속시간화정도위표준.결과술후6개월A조기류평균축소50%,림상증상명현개선,부작용위술후하복부동통교중,B조기류평균축소42.8%,림상증상유개선,하복부동통경.결론종근기료효래간,300-500μmPVA과립료효우우500-700μm PVA,중원기료효정재관찰중.
@@@@Objective To evaluate effects of uterine artery embolization(UAE)with polyvinyl alcohol(PVA)of differ-ent sizes. Methods UAE was undertaken in 30 patients diagnosed as uterine fibroids which were radomly divided into Group A(300-500μm)and GroupB(500-700μm),according to the PVA particles of different sizes. Recent clinical efficacy and post embolization syndrome(the duration and extent of pain,fever,irregular vaginal bleeding,increased secretion,nausea and vomit)were evaluated separately by the different groups. Results After six months,group A average narrowed 50%,clinical symptoms improved significantly,side effects include heavier abdominal pain. Group B is 42.8%,clinical symptoms improved, lighter abdominal pain. Conclution From a long-term perspective effects,300-500μm PVA is the best of choice. Long-term results are in the observation.