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目的 :观察双侧子宫动脉栓塞术治疗子宫肌瘤的临床效果。方法 :采用Seldinger’s技术经皮股动脉穿刺插管 ,超选择性子宫动脉栓塞治疗 43例子宫肌瘤患者 ,栓塞剂选用PVA颗粒 (直径分别为 3 3 5～ 50 0 μm、50 0～ 710 μm ) ,完全阻断子宫动脉血流 ,术后定期随访观察。结果 :栓塞后肌瘤的血供可完全阻断。术后 1、3、6个月复查 ,一般术后当月即见月经血量减少 ,本组有 40例在术后 3个月后月经均基本恢复正常 ,余 3例也有改善 ,无 1例出现闭经者。术后 1个月彩超复查 ,子宫体积缩小 10 %以上 ,肌瘤缩小 0 .5～ 1.0cm ,3个月复查 ,子宫体积缩小 2 0 %以上 ,肌瘤缩小 15%～ 40 % ,6个月复查 ,子宫体积缩小 40 %以上 ,肌瘤缩小 2 0 %～ 60 %。结论 :子宫动脉栓塞术治疗子宫肌瘤是一种安全可靠的微创治疗技术。
Objective: To observe the clinical effect of bilateral uterine artery embolization in the treatment of uterine fibroids. Methods: Seldinger’s technique was used to treat 43 cases of uterine fibroids by percutaneous femoral artery catheterization and superselective uterine arterial embolization. PVA granules (diameter of 350 ~ 500 μm and 50 0 ~ 710 μm, respectively) , Completely blocked uterine artery blood flow, regular follow-up after surgery. Results: The blood supply of fibroids after embolization can be completely blocked. Postoperative 1, 3, 6 months of review, the general month after the month that see the reduction of blood flow, the group of 40 patients after 3 months of menstruation were basically normal, more than 3 cases have improved, no one occurred Amenorrhea After 1 month of ultrasound examination, uterine volume reduced by 10% or more, fibroids reduced 0.5 ~ 1.0cm, 3 months review, the uterus volume reduced 20% or more, fibroids reduced 15% to 40%, 6 months Review, the uterus shrinks more than 40%, fibroids 20% to 60%. Conclusion: Uterine artery embolization for the treatment of uterine fibroids is a safe and reliable minimally invasive treatment technique.