摘要
目的 :探讨选择性子宫动脉栓塞治疗子宫肌瘤的临床疗效。材料与方法 :对 31例子宫肌瘤患者 ,采用Seldinger法股动脉穿刺 ,将导管选择性插入双侧子宫动脉 ,经导管注入PVA和明胶海绵微粒 ,阻断子宫肌瘤的血供。随访时间为 2个月～ 39个月。结果 :血管造影显示子宫肌瘤血供丰富 ,均为双侧子宫动脉供血。栓塞后血管造影见子宫肌瘤血供完全阻断 ,技术成功率为 10 0 %。随访结果表明 ,临床症状缓解消失 ,肌瘤和子宫体积明显缩小 ,临床有效率达 10 0 %。结论 :选择性子宫动脉栓塞治疗子宫肌瘤是一项具有创伤小 ,副反应轻、恢复快、安全有效的新技术。
Purpose:To probe into the clinical effects of selective embolizaion of uterine arteries in the treatment of uterine myomata.Materials and Methods:We treated 31 patients with uterine myomata by seldinger′s selective uterine arteries embolization.An artery catheter was selectively inserted into bilateral uterine arteries.The insertion polyvinyl alcohol (PVA) particles and gelform were introduced through catheter to occlude the blood supply of myoma,31 patients were followed uip for 2 to 39 months.Results:Arteriography showed that most uterine myomata were supplied by bilateral uterine arteries.When both uterine arteries were embolized,the blood supply of uterine myoma could be occluded.All 31 patients under went technically successful embolization.The clinical effective rate was 100%.Conclusion:Selective uterine artery embolization is a new method for treatment of uterine myomata with less trauma safe、effective.
出处
《现代医用影像学》
2003年第5期209-212,共4页
Modern Medical Imageology
