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聚乙烯醇超选择性栓塞子宫动脉治疗子宫肌瘤

Super-selective Uterine Arterial Embolization with Polyvinyl Alcohol Foam in Treatment of Myoma
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摘要 【目的】探讨聚乙烯醇超选择性栓塞子宫动脉治疗子宫肌瘤的临床疗效。【方法】收集22例子宫动脉栓塞术治疗肌瘤的患者,观察临床表现。【结果】①患者子宫体积均数、肌瘤体积均数在栓塞术前后变化有统计学的差异(P<0.05)。②栓塞术前后患者双侧卵巢体积变化无显著统计学差异(P>0.05)。③患者月经量在栓塞术前后变化有统计学差异(P<0.05)。【结论】①本疗法能有效地缩小子宫和肌瘤的体积;改善月经过多等临床症状。②本疗法对近期卵巢体积影响不大。③本疗法近期疗效良好,远期效果有待进一步的研究。④本疗法有一定的副作用和并发症,应加以重视。 [Objective] The objective of this study was to accessed the effect of super-selective uterine arterial embolization with polyvinyl alcohol foam (PVA) for myoma therapy and provide more referent data for its clinical application. [Method] Twenty-two patients with uterine myoma who were diagnosed and treated after PVA-UAE were selected. [Results] (1) The changes of the volume of uterus before and after UAE were significant different (P〈 0.05). The changes of the volume of myoma before and after UAE showed significant difference (P〈 0.05). (2) The changes of the volume of two side of ovary before and after UAE were not significant different (P 〉0.05). (3) The mean amount of menses before and after operation was statistically different (P〈 0.05). [Conclusion] (1) PVA-UAE is a confirmed method for treatment of uterine myoma. It can alleviate menorrhagia and other clinical symptoms. (2) PVA-UAE does not affect the volume of ovary. (3) PVA-UAE is effective in the short term as a method for myoma therapy. But the further effectiveness of all patients after treatment should be investigated continuously and regularly. (4) PVA-UAE should be paid attention to its side effects.
出处 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2005年第5期578-581,共4页 Journal of Sun Yat-Sen University:Medical Sciences
基金 广东省卫生厅科研基金资助项目(E002003013)
关键词 子宫动脉栓塞术 超选择性 聚乙烯醇 子宫肌瘤 uterine arterial embolization, super-selective polyvinyl alcohol foam (PVA) myoma
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