You Position: Home > Paper
Clinical analysis of 42 cases uterine myoma by uterine arterial embolization
( views:428, downloads:265 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:0529-567X.2002.01.004
- Key Word:
- 子宫肿瘤;平滑肌瘤;栓塞,治疗性;明胶海绵,吸收性
Abstract： 目的探讨子宫动脉栓塞术(UAE)治疗子宫肌瘤的疗效.方法选择42例子宫肌瘤患者,以Seldinger技术完成单侧股动脉插管,根据数字减影血管造影(DSA)检查结果,选用管径为4～5 F (1 F=0.33 mm)的脾管、肝管或cobra导管,或选用3 F微导管,插管至双侧子宫动脉并经DSA检查证实后,以携带有抗生素的明胶海绵颗粒栓塞该处血管.结果 DSA检查发现,子宫肌瘤血液供应丰富.UAE治疗6～12个月后,子宫肌瘤患者的临床症状明显缓解,月经量减少26.3%～75.2%;UAE治疗后第12个月、第18个月肌瘤体积分别缩小77.7%、83.0%,子宫体积分别缩小54.9%、62.7%.术后有不同程度的下腹痛、低热,持续1～3周,经对症处理后症状逐渐消失.结论 UAE可有效地缩小肌瘤及子宫的体积,并明显改善子宫肌瘤患者的临床症状.
- [1]谢红宁,车艳玲,刘杰,等.超声引导下瘤内无水乙醇注射治疗子宫肌瘤的初步研究[J].2000,(4).
- [2]J H, Ravina,J M, Bouret,N, Ciraru-Vigneron,etc.[Recourse to particular arterial embolization in the treatment of some uterine leiomyoma].[J].1997,181.
- [3]陈春林,刘佩鸣,曾北蓝,等.经皮双髂内动脉栓塞术治疗休克状态下的产后大出血7例观察[J].1999,(8).
- [4]J H, Ravina,A, Aymard,N, Ciraru-Vigneron,etc.[Arterial embolization of uterine myoma: results apropos of 286 cases].[J].2000,29(3).
- [5]Pelage J P,Le Dref O,Soyer P,etc.Arterial anatomy of the female genital tract: variations and relevance to transcatheter embolization of the uterus.[J].1999.
- [6]J H, Ravina,D, Herbreteau,N, Ciraru-Vigneron,etc.Arterial embolisation to treat uterine myomata.[J].1995,346.