论文部分内容阅读
目的 研究经导管子宫动脉栓塞治疗子宫肌瘤的疗效、副反应、并发症及其防治方法。方法 对 9例症状性子宫肌瘤患者进行双侧子宫动脉插管 ,6例用平阳霉素碘油乳剂 (Pingyangmycinlipiodolemulsion ,PLE)加明胶海绵颗粒栓塞 ,另 3例用聚乙烯醇颗粒 (Polyvinylalcoholparticles,PVA)加少许真丝小线段栓塞。 结果 随访 12～ 16个月 ,瘤块缩小 30 %～ 74 %。所有子宫出血病例月经恢复正常 ,贫血病例 ,血红蛋白升至正常。瘤块所致压迫症状消失。结论 对希望保留子宫 ,或不愿手术的子宫肌瘤患者 ,子宫动脉栓塞是一种有效的治疗方法 ,可替代手术治疗
Objective To study the curative effect, side effects, complications and prevention methods of transcatheter uterine artery embolization for uterine fibroids. Methods Nine patients with symptomatic uterine fibroids underwent bilateral uterine arterial cannulation. Six patients were treated with Pingyangmycin lipiodol emulsion (PLE) plus gelatin sponge particles. The other three patients were treated with Polyvinylalcohol Particles (PVA ) Add a little silk thread plug. Results The follow-up of 12 to 16 months, the tumor mass reduced by 30% to 74%. All cases of uterine bleeding back to normal menstruation, anemia, hemoglobin rose to normal. Nodules caused by symptoms of oppression disappeared. Conclusions Uterine artery embolization is an effective treatment for patients with uterine fibroids who wish to retain the uterus or who do not wish to have surgery and may be an alternative to surgery