目的探讨子宫动脉栓塞术(UAE)治疗子宫腺肌病的临床疗效。方法选择28例子宫腺肌病患者,以Seldinger’s技术完成双子宫动脉超选择插管,造影证实后,用抗生素及携带抗生素的PVA颗粒+新鲜明胶海绵颗粒进行栓塞,术后1、3、6个月随访观察疗效。结果28例患者UAE治疗后临床症状全部缓解。治疗后痛经消失或显著缓解;月经量明显减少,贫血改善;子宫、病灶体积明显缩小;彩色超声显示子宫肌层及病灶内血流信号明显减少;卵巢内分泌功能无明显影响。结论UAE治疗子宫腺肌病近期疗效显著,且微创、安全、副反应少。 Objective To investigate the clinical efficacy of uterine artery embolization (UAE) in the treatment of adenomyosis. Methods A total of 28 patients with adenomyosis were enrolled. Selininger’s technique was used to complete superselective intubation of uterine artery. After angiography was confirmed, they were embolized with antibiotics and PVA particles carrying fresh antibiotics and fresh gelatin sponge granules. After operation, 1,3,6 Follow-up observation effect. Results The clinical symptoms of 28 patients were relieved after UAE treatment. After treatment, dysmenorrhea disappeared or significantly alleviated; menstrual flow decreased significantly, anemia improved; uterus, lesion volume was significantly reduced; color ultrasound showed that the myometrium and lesion blood flow signals decreased significantly; ovarian endocrine function had no significant effect. Conclusion UAE adenomyosis treatment of recent significant effect, and minimally invasive, safe, less side effects.