摘要
目的探讨经桡动脉入路子宫肌瘤栓塞术(UFE)治疗子宫肌瘤的临床效果。方法选取2018年2月~2019年11月入住我院拟行介入治疗的70例子宫肌瘤患者作为研究对象,按随机数字表法将其分为观察组和对照组,每组各35例。对照组患者进行经股动脉入路UFE,观察组患者进行经桡动脉入路UFE。比较两组患者的穿刺用时、术后并发症总发生率以及术后30 min、6 h、24 h的疼痛评分。结果观察组患者的穿刺用时为(7.57±2.80)min,短于对照组的(13.11±4.07)min,差异有统计学意义(P<0.05);观察组患者的术后并发症总发生率为8.57%,低于对照组的28.57%,差异有统计学意义(P<0.05);两组患者术后30 min的疼痛评分比较,差异无统计学意义(P>0.05)。两组患者术后6 h和术后24 h的疼痛评分均低于术后30 min,差异有统计学意义(P<0.05)。术后6、24 h,观察组患者的疼痛评分低于对照组,差异有统计学意义(P<0.05)。结论与常规的经股动脉入路UFE相比较,经桡动脉入路UFE治疗子宫肌瘤,能进一步缩短穿刺时间,降低术后并发症的发生率,改善患者的疼痛症状。
Objective To explore the clinical effect of uterine fibroid embolization(UFE)via radial artery approach in the treatment of uterine fibroids.Methods A total of 70 cases of hysteromyoma admitted to our hospital from February 2018 to November 2019 were selected as subjects,and they were divided into observation group and control group according to random number table method,with 35 cases in each group.The patients in the control group were treated with UFE via femoral artery approach,and the patients in the observation group were treated with UFE via radial artery approach.The puncture time,total postoperative complication rate,and pain scores of 30 minutes,6 hours and 24 hours after operation were compared between the two groups.Results The puncture time in the observation group was(7.57±2.80)min,which was shorter than that in the control group of(13.11±4.07)min,with statistically significant difference(P<0.05).The total incidence of postoperative complications in the observation group was 8.57%,which was lower than that in the control group(28.57%),and the difference was statistically significant(P<0.05).There was no significant difference in the pain score 30 min after operation of the two groups(P>0.05).The pain scores of the two groups at 6 h and 24 h after operation were lower than 30 min after operation,and the differences were statistically significant(P<0.05).At 6 and 24 h after operation,the pain scores of patients in the observation group were lower than those of the control group,with statistically significant differences(P<0.05).Conclusion Compared with conventional transfemoral approach UFE,UFE via radial artery approach for uterine fibroids can further shorten the puncture time,reduce the incidence of postoperative complications,and relieve patients′pain symptoms.
作者
温少铭
冼建珍
陈瑞微
冷伊
张可新
WEN Shao-ming;XIAN Jian-zhen;CHEN Rui-wei;LENG Yi;ZHANG Ke-xin(Department of Intervention,Zhaoqing Second People′s Hospital,Guangdong Province,Zhaoqing526060,China;Hemodialysis Room,Zhaoqing Second People′s Hospital,Guangdong Province,Zhaoqing526060,China)
出处
《中国当代医药》
2020年第20期55-57,61,共4页
China Modern Medicine
基金
广东省肇庆市科技创新指导类项目(190418164163319)。
关键词
子宫肌瘤
介入治疗
经桡动脉入路
经股动脉入路
并发症
Hysteromyoma
Interventional therapy
Via radial artery approach
Via femoral artery approach
Complications
