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目的 探讨子宫动脉栓塞术(UAE)近远期并发症的防治。方法 以回顾性方法对123 例UAE患者的临床资料进行分析。结果 术后常见的近远期并发症为穿刺部位血肿或出血(5. 69%),栓塞后综合征(90.24%),异位栓塞(3.25%),泌尿系感染(2.44%),造影剂过敏反应(0.81%),下肢血栓形成(0.81%)。远期并发症为卵巢功能障碍(3.25%),妊娠期子宫自发破裂(0.81%),感染(0.81%)。结论 UAE应严格掌握手术指征,操作技术水平与并发症的发生率密切相关,早期发现,及时治疗极为重要。
Objective To explore the prevention and treatment of short-term and long-term complications of uterine artery embolization (UAE). Methods The clinical data of 123 UAE patients were retrospectively analyzed. Results The most frequent postoperative complications were hematoma or hemorrhage (5.69%), post-embolization syndrome (90.24%), ectopic embolism (3.25%), urinary tract infection (2.44%), contrast agent Allergic reaction (0.81%), lower extremity thrombosis (0.81%). Long-term complications of ovarian dysfunction (3.25%), spontaneous rupture of the uterus during pregnancy (0.81%), infection (0.81%). Conclusion UAE should strictly control the operation indications. The operative technique level is closely related to the incidence of complications. Early detection and prompt treatment are extremely important.