文档介绍：子宫动脉栓塞术治疗子宫肌瘤的临床观察
作者:江兆玲赵方欣张桢华柯静婷万向娜
【关键词】子宫肌瘤;平滑肌瘤;栓塞;治疗
【摘要】目的探讨子宫动脉栓塞术(UAE)治疗子宫肌瘤的疗效及安全性。方法选择22例子宫肌瘤患者采用Seldinger技术穿刺股动脉,置入4~5F(1F=033 mm)Cobra导管,超选择双侧子宫动脉,经导管注射碘油(超乳化)+平阳霉素(8~24 mg)行UAE治疗。结果行UAE治疗后,患者临床症状明显缓解,月经改善最为显著,18例月经过多者明显减少,5例有尿频、尿急、大便困难等压迫症状消失,子宫及肌瘤体积呈进行性缩小,6个月内子宫及肌瘤体积缩小明显。结论 UAE治疗子宫肌瘤近期效果明显,能有效地改善患者的临床症状。
【关键词】子宫肌瘤;平滑肌瘤;栓塞;治疗
【Abstract】 Objective To investigate the efficiency and safety of uterine arterial embolization (UAE) on uterine Twentytwo cases of uterine myoma were treated by using lipiodolpingyangmycin 45 F cobra catheters were insered into the uterine arteries by All clinical sumptoms were reduced and urgency of micturition of 18 cases were reduced and urgency of micturition of 5 cases were volume of 5 cases were volume of uterus and myoma was reducing clusion UAE was an e
ffective method for the teeatment of uterine myoma.
【Key words】 uterine neoplasms,leiomyoma,embolization,therapeutic
子宫动脉栓塞术(vterine arterial embolization)用于治疗子宫肌瘤是近几年开展的一种新方法,我院自2000年开展该项目以来,共治疗病人22例,取得满意效果,现报告如下。
1 资料与方法
一般资料自2000年3月―2005年5月,用UAE治疗子宫肌瘤患者22例。病例选择标准:①用彩超明确诊断子宫肌瘤;②月经过多;③出现尿频、尿急、大便困难等压迫症状。本组22例患者年龄25~50岁,平均39岁。月经过多18例,重度贫血7例,中度贫血9例;出现压迫症状者8例;单发肌瘤13例,均为肌壁间肌瘤,多发肌瘤9例。
方法
操作技术采用Seldinger技术穿刺股动脉,置4~5 F动脉鞘,送入4~5 F cobra导管,超选择双