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目的 观察用选择性子宫动脉栓塞(UAE)法治疗子宫肌瘤的临床效果。方法 采用Seldinger’s方法作选择性子宫动脉栓塞,治疗70例子宫肌瘤。先经皮肤做股动脉穿刺,将动脉导管插至对侧髂内动脉,血管造影确认子宫动脉及肌瘤血管征象后进行选择性子宫动脉插管,并通过动脉导管注入真丝线段或聚乙烯醇(PVA颗粒)或明胶海绵,阻断肌瘤血供。结果 血管造影发现,子宫肌瘤血供丰富,由左右两侧子宫动脉同时供血者占90%。双侧子宫动脉栓塞完成后,子宫肌瘤血供可完全阻断。治疗后6~24 个月的随访结果表明,肌瘤均比治疗前缩小;月经周期恢复正常;月经量增多,贫血等症状明显改善。结论 选择性子宫动脉栓塞治疗子宫肌瘤是一种创伤小、临床效果好的新方法。
Objective To observe the clinical effect of selective uterine arterial embolization (UAE) in the treatment of uterine fibroids. Methods Seldinger ’s method was used for selective uterine arterial embolization in the treatment of 70 cases of uterine fibroids. First through the skin femoral artery puncture, the catheter inserted into the contralateral internal iliac artery, uterine artery angiography confirmed signs of uterine artery and fibroids after selective uterine artery catheterization, and through the arterial catheter into the silk segment or polyvinyl alcohol ( PVA particles) or gelatin sponge, blocking fibroids blood supply. Results angiography found that uterine fibroids rich in blood supply by the left and right uterine artery blood supply accounted for 90%. After the completion of bilateral uterine artery embolization, blood supply to uterine fibroids can be completely blocked. The follow-up results of 6 to 24 months after treatment showed that fibroids were smaller than before treatment, menstrual cycle returned to normal, menstrual volume increased, anemia and other symptoms improved significantly. Conclusion Selective uterine artery embolization for the treatment of uterine fibroids is a new method of small trauma and good clinical effect.