| 杨维竹,谢敬霞,江娜,郑曲彬,黄宁.双侧子宫动脉栓塞治疗子宫肌瘤的疗效(附22例报告)[J].中国医学影像技术,2001,17(11):1086~1088 |
| 双侧子宫动脉栓塞治疗子宫肌瘤的疗效(附22例报告) |
| The Effect of Bilateral Uterine Arterial Embolization in the Treatment of Leiomyoma (A Report of 22 Cases) |
| 投稿时间：2001-07-10 |
| DOI： |
| 中文关键词: 子宫肌瘤 放射学,介入性 栓塞,治疗性 |
| 英文关键词:Uterine neoplasm Radiology,interventional Embolization,therapeutic |
| 基金项目: |
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| 中文摘要: |
| 目的 评价双侧子宫动脉栓塞治疗子宫肌瘤的疗效。方法 22例子宫肌瘤患者,伴有月经量增多、尿频、腹部坠胀感和腹部肿块等,采用500~700μm 聚乙烯醇(PVA)微粒栓塞双侧子宫动脉。结果 22例中插管成功栓塞的有21例,占95.5%。15例经量增多的患者子宫出血明显减少(100%),其中1例完全没有月经, 8例患者与肿块有关的症状均明显缓解(100%)。B超复查肌瘤缩小率达50%~92%,22例中无一严重并发症发生。结论 子宫动脉栓塞治疗有症状性的子宫肌瘤是有效的,研究证明此疗法可替代肌瘤切除术、子宫切除术。 |
| 英文摘要: |
| Objective To evaluate the effect of bilateral uterine arterial embolizations in the treatment of leiomyoma. Methods Uterine arterial embolization with 500~700μm polyvinyl alcohol (PVA) particles was performed in 22 patients with menorrhagia and bulk-related symptoms (frequency of urination, sensation of pressure,sensation of mass) due to leiomyomas. Results Twenty-one (95.5%) of the 22 patients had technically successful procedures. Fifteen (100%) of the 15 patients with the abnormal bleeding reported marked improvement, including one case with complete resolution of symptom. Eight (100%) of the 8 patients with bulk-related symptoms reported marked improvement in these symptoms. The marked diminution of tumor size (50%~92%) was sonographically demonstrated. No severe complications were discovered in all 22 cases. Conclusion Uterine arterial embolization is an effective therapy in the management of symptomatic leiomyomas and may prove to be an alternative to myomectomy,hysterectomy. |
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