目的探讨子宫动脉栓塞术(UAE)治疗子宫腺肌病的临床效果及不良反应。方法选择26例子宫腺肌病患者进行介入性子宫动脉栓塞,术后随访疗效。结果子宫动脉栓塞术后6个月,痛经完全消失20例,明显缓解5例,部分缓解1例。患者的疼痛级别明显降低(P<0.01),所有患者月经量均明显减少,平均减少50%,贫血纠正,术后12个月,子宫体积缩小41.3%。结论UAE治疗子宫腺肌病近期疗效显著,安全性好,保留了子宫,患者接受程度高。 Objective To investigate the clinical effects and adverse reactions of uterine artery embolization (UAE) in the treatment of adenomyosis. Methods Twenty-six patients with adenomyosis underwent interventional uterine arterial embolization and were followed up for follow-up. Results Six months after uterine artery embolization, dysmenorrhea completely disappeared in 20 cases, significantly relieved in 5 cases and partially relieved in 1 case. The patient’s pain level was significantly lower (P <0.01). All patients had significantly reduced menstrual flow, an average reduction of 50%, anemia correction, 12 months after surgery, the uterus volume reduced 41.3%. Conclusion UAE treatment of adenomyosis with significant short-term efficacy, safety, retention of the uterus, patients with high acceptance.