摘要
目的 探讨经导管动脉栓塞术 (TAE)治疗子宫腺肌病的临床疗效及副反应。方法 选择 14例子宫腺肌病患者 ,以Seldinger’s技术完成双子宫动脉或双髂内动脉前干超选择插管 ,造影证实后 ,用携带有抗生素的新鲜明胶海绵颗粒进行栓塞。术后 1、3、6、12个月观察其疗效。结果 TAE治疗后全部病例临床症状缓解率达 10 0 %。月经量减少 33 3% 70 0 % ,平均减少 (5 2 6± 2 0 1) % (P <0 0 1) ;13例患者在术后 2个月内痛经完全消失 ,1例治疗后明显缓解 ,至术后第 11个月痛经消失 ,术后疼痛评分及评级比术前明显降低 (P <0 0 1) ;子宫、病灶体积缩小显著 ;彩色超声显示子宫肌层及病灶内血流信号明显减少。
Objective To assess the clinical effects and side effects of transcatheter arterial embolization (TAE) on adenomyosis.Methods TAE was performed on 14 patients with adenomyosis.The 4 0 or 5 0 F RS/RH/Cobra catheter was placed into the double internal illiac arteries or uterine arteries for treatment.The fresh gelfoam particles mixed with antibiotic drugs were used to embolize the arteries.At 1,3,6,12 month postoperatively,the effects were investigated.Results All clinical symptoms of these 14 patients(100%) relieved.The volume of menses decreased 33 3%~70 0%.Mean decreasing value was (52 6±20 1)%(P<0 01).13 patients of dysmenorrhea showed no pain two months after TAE.The rest one improved significantly after treatment and completely disappeared 11 months after TAE.The volume of uterine focus decreased significantly.The blood flow within the uterine focus decreased immediately after TAE,which was detected by color Doppler flow imaging.Conclusion TAE is proved to be therapeutically effective for adenomyosis in short-term.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2000年第12期737-738,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
子宫腺肌病
经导管动脉栓塞术
TAE
疗效
副反应
Adenomyosis Transcatheter arterial embolization Uterine arterial Internal iliac arterial Gelfox
