摘要
目的 :评价经导管子宫动脉栓塞 (UAE)对子宫平滑肌瘤 (UF)的疗效及影响疗效的有关因素。资料和方法 :5 1例患者年龄 2 0～ 5 1岁 (平均 39 9岁 ) ,主要症状包括阴道出血 (月经过多 ) ,盆腔压迫症状 ,盆区疼痛。子宫平滑肌瘤的诊断经影像学检查和专科医师检查确定 ,并排除与症状有关的其它妇科疾病。 5 1例患者行 5 2例次子宫动脉栓塞 ,其中双侧者 49例次 ,单侧者 3例次。栓塞剂为直径 5 0 0～ 710 μ的PVA微球。 结果 :栓塞技术成功率为 94 2 % ( 49 5 2 ) ,无严重并发症。随访 44例 ,时间 2～ 19个月 ,术后症状有明显改善者 43例 ,无改善者 1例 ,与仅行单侧栓塞有关。术后 4个月肿瘤体积平均缩小 47%。结论 :UAE是一治疗UF的安全方法 ,近期疗效优良 ,远期疗效尚有待观察。
Purpose:To evaluate the effectiveness of uterine arterial embolization (UAE)in the management of uterine fibroids (UF)and obtain relative factors that influenced cure effect. Materials and Methods: Fifty one patients (aged 20～51 years;mean, 39 9 years)with refractory vaginal bleeding, pelvic pain, and/or pelvic compression related to UF underwent UAE. The UF were diagnosed by radiological imaging and gynecological examination. Fifty two procedures of UAE were done in the fifty one patients, including bilateral uterine arterial embolization in 49patients and unbilateral embolization in 3 patients. The embolic materials used in this series were polyvinyl alcohol (PVA, 500～710μ) particles. Results: The technical success of UAE was 94.2% (49/52). There were no serious complications in all cases. In follow up of 2 to 19 months, all of these patients except one who only underwent unbilateral UAE appeared with relief of symptoms and decrease in tumor size in 47% by 4months after the treatment. Conclusion: UAE is a safe and effective method for the management of UF. Longer follow up is needed to evaluate the long term effects. Whether the procedure of UAE with bilateral uterine arterial embolization is the main factor that influences the curative effect.
出处
《中国医学影像学杂志》
CSCD
2002年第2期88-89,92,共3页
Chinese Journal of Medical Imaging
