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目的观察子宫动脉栓塞术(UAE)治疗常见的子宫良性疾病:子宫肌瘤、子宫腺肌病、功能失调性子宫出血(功血)的临床疗效。方法对56例子宫肌瘤,14例子宫腺肌病,8例顽固性功血患者,以Seld inger’s术经一侧股动脉插入导管行双侧髂内动脉血管造影,确认双侧子宫动脉后通过导管用携带有抗生素的PVA颗粒(聚乙烯醇颗粒)70~200mg进行栓塞,术后1、3、6、12个月观察其临床疗效。结果UAE治疗后全部病例症状缓解率达100%,肌瘤明显缩小或消失,月经周期恢复,经量减少,痛经减轻或消失。结论UAE治疗是一种创伤小、痛苦少、可保留子宫、并发症少、易接受的安全有效的方法。
Objective To observe the clinical efficacy of uterine arterial embolization (UAE) in the treatment of common uterine benign diseases: uterine fibroids, adenomyosis, dysfunctional uterine bleeding (DUB). Methods 56 cases of uterine fibroids, 14 cases of adenomyosis, 8 cases of intractable dysfunctional uterine bleeding in patients with Seld inger’s technique through the femoral artery catheterization bilateral iliac artery angiography to confirm the bilateral uterine artery through The catheters were embolized with 70-200 mg of PVA granules (polyvinyl alcohol granules) carrying antibiotics and the clinical efficacy was observed at 1, 3, 6 and 12 months after operation. Results All cases of UAE after treatment to alleviate the symptoms of 100%, fibroids significantly reduced or disappeared, menstrual cycle recovery, reduction in the amount of dysmenorrhea to reduce or disappear. Conclusion UAE is a safe and effective way to treat UAE with less trauma and less pain, with less complications and less complications.