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目的:探讨子宫肌瘤栓塞治疗中卵巢支处理技术。方法:对15例子宫动脉造影中双侧或单侧卵巢支显影和卵巢染色的子宫肌瘤患者行超选择性子宫动脉栓塞术(UAE)。结果:双侧子宫动脉碘油—平阳霉素乳剂栓塞12例;病灶优势侧子宫动脉碘油—平阳霉素乳剂栓塞,对侧明胶海绵栓塞3例;15例患者术前术后3个月女性激素无明显变化,均未出现闭经或提早停经。结论:UAE治疗子宫肌瘤,只要正确处理好卵巢支,不会损伤卵巢内分泌功能。
Objective: To investigate the treatment of uterine fibroid embolization in the treatment of ovarian branch. Methods: Superselective uterine arterial embolization (UAE) was performed in 15 patients with uterine leiomyoma who underwent bilateral or unilateral ovarian branch imaging and ovarian staining. Results: Twelve cases of lipiodol-pingyangmycin emulsion embolization in the bilateral uterine artery, thrombo-lipiodol-pingyangmycin emulsion embolization in the superior side of the lesion and three cases of contralateral gelatin sponge embolization. Three patients No significant changes in hormones, did not appear amenorrhea or early menopause. Conclusion: UAE treatment of uterine fibroids, as long as the proper treatment of ovarian branch, will not damage ovarian endocrine function.