CAJ | 학술논문

目的：研究双侧子宫动脉栓塞治疗妇产科疾病的疗效。方法：对68例产后大出血、子宫疤痕妊娠、稽留流产清宫伴有急性大出血、子宫肌瘤（18例）、子宫腺肌瘤、中孕胎盘完全性前置状态、中孕引产胎盘植入及宫颈癌术前化疗的患者分别行双侧子宫动脉栓塞治疗或灌注化疗。结果：产后大出血及稽留流产清宫伴急性大出血者，均在栓塞术后出血立即停止或明显减少；子宫肌瘤者经栓塞治疗，肌瘤坏死、排出组织物、完整剥除；子宫疤痕妊娠和中孕胎盘完全性前置状态流（引）产前行双侧子宫动脉栓塞，药流（引产）及清宫时阴道流血少；中孕引产胎盘植入行双侧子宫动脉栓塞＋MTX＋米非司酮＋钳刮时，阴道流血少；宫颈癌患者采取新辅助化疗，近期有效率达95.8％。结论：双侧子宫动脉栓塞有效治疗妇产科疾病，疗效显著，且创伤小、安全、简便，有推广价值。
목적：연구쌍측자궁동맥전새치료부산과질병적료효。방법：대68례산후대출혈、자궁파흔임신、계류유산청궁반유급성대출혈、자궁기류（18례）、자궁선기류、중잉태반완전성전치상태、중잉인산태반식입급궁경암술전화료적환자분별행쌍측자궁동맥전새치료혹관주화료。결과：산후대출혈급계류유산청궁반급성대출혈자，균재전새술후출혈립즉정지혹명현감소；자궁기류자경전새치료，기류배사、배출조직물、완정박제；자궁파흔임신화중잉태반완전성전치상태류（인）산전행쌍측자궁동맥전새，약류（인산）급청궁시음도류혈소；중잉인산태반식입행쌍측자궁동맥전새＋MTX＋미비사동＋겸괄시，음도류혈소；궁경암환자채취신보조화료，근기유효솔체95.8％。결론：쌍측자궁동맥전새유효치료부산과질병，료효현저，차창상소、안전、간편，유추엄개치。
Objectives:To evaluate the curative effect of bilateral uterine arterial embolization (UAE)in the treatment of obstetrical and gynecological diseases.Methods:UAE or infusion chemotherapy was performed in 68 pa-tients with postpartum hemorrhage,scar gestation,brachychronic bleeding during curettage of missed abortion,hystero-myoma (18),adenomyoma,complete placenta previa of second trimester,placenter accrete in second trimester and pa-tients with cervical carcinoma who recieved radical hysterectomy.Results:After operation,hemorrhage was stopped or reduced immediately in patients with postpartum hemorrhage or profuse hemorrhage during curettage of missed abortion;uterine leiomyoma was necrotic discharged and entirely excavated after operation;vaginal bleeding was reduced when pa-tients with scar gestation and complete placenta previa of second trimester received medical abortion and curettage;vagi-nal bleeding was reduced when patient with placenta accrete in the second trimesters received forceps curettage;the re-cent effective rate of neoadjunant chemotherapy in the treatment of cervical carcinoma was 95.8%.Conclusion:UAE is a safe and effective treatment method for gynecological and obstetrical diseases.