双侧子宫动脉栓塞术治疗育龄期子宫肌瘤的疗效观察

http://www.100md.com 2012年1月5日《中国医学创新》 2012年第1期

     作者单位：611130 成都市温江区中医院通讯作者：宋世强

    【摘要】目的探讨双侧子宫动脉栓塞术(BUAE)治疗育龄期子宫肌瘤的临床价值。方法对41例育龄期子宫肌瘤患者，选择平阳霉素乳剂(PLE)+明胶海绵颗粒(GS)行BUAE治疗。术后3个月、6个月、12个月随访，观察疗效及并发症。结果BUAE术后全部患者临床症状缓解，38例(927%)患者月经恢复正常。术后3个月、6个月、12个月复查，肌瘤缩小率分别为348%、551%、749%。结论BUAE能有效地缩小肌瘤体积，并明显改善临床症状，是一种疗效显著的微创技术，对于育龄期子宫肌瘤患者的治疗有重要价值。【关键词】育龄期；子宫肌瘤；双侧；子宫动脉栓塞术；治疗

    Clinical effect of bilateral uterine artery embolization in treatment of reproductive-aged women with fibroidSONG Shi-qiang.Wenjiang hospital of traditional Chinese medicine,Chengdu 611130,China【Abstract】ObjectiveTo explore the clinical value of bilateral uterine artery embolization(BUAE)in treatment of reproductive-aged women with fibroid.Methods41 reproductive-aged women with fibroid were treated with PLE+gelatin sponge particles(GS).3 months,6 months,12 months later,the clinical effect and complications were assessed.ResultsAfter BUAE,all patientsclinical symptoms were controled,38 patients(927%)returned to normal menstruation.3 months,6 months,12 months later,fibroid shrink rates were 348%,551%,749% respectively.ConclusionBUAE can reduce the volume of fibroid and significantly improve clinical symptoms,it is a significant wiresoft technique and has significant value in treatment of reproductive-aged women with fibroid.【Key words】Reproductive age;Fibroid;Bilateral;Uterine artery embolization;Treatmentdoi:10.3969/j.issn.1674-4985.2012.01.079子宫肌瘤在育龄期妇女发病率约20%～25% ......

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