现代妇产科进展2001，Vol.10Issue(2)：99-101,3.
聚乙烯乙醇与真丝线段栓塞子宫动脉治疗子宫肌瘤的临床研究
Clinical study on the treatmentof hysteromyoma by uterine artery embolism with polyvinyl alcohol and natural silk segment
徐军 1韩崎平 1孙蕾 1钱晓峰 1王玲 1徐丛剑2
作者信息
- 1. 上海市闸北区中心医院妇产科
- 2. 复旦大学附属妇产科医院
- 折叠
摘要
Abstract
Objective:To evaluate the clinical effect and side effect of the treatment of hysteromyoma by uterine artery embolism with polyvinyl alcohol(PVA)and natural silk segment.Methods:50 patients of hysteromyoma was divided into two groups.Seldinger method was employed to puncture the femoral artery.After the site of uterine artery and hysteromyoma was confirmed by angiography,ultra-selective arterial cannulation was performed and PVA particles and naturalsilk segment was injected into uterine artery to block the blood supply of hysteromyoma. B ultrasound was used to measure the volume of the hysteromyoma before and after treatment.Results:The menstruation was recovery to normal or decreased significantly in 97.73％ of all 50 patients.The volume of the hysteromyoma decreased 45.81% after 3 months and 51.80% after 6 months.The difference between the hysteromyoma volume before and after treatment was high significant (P＜0.01).But there weren't significant difference in the menstruation and the hysteromyoma volume between two groups.The pelvic pain caused byischemia was the main side effect.But feverish syndrome was more obvious in thegroup with natural silk segment(P＜0.05).There weren't serious sideeffect in both groups. Conclusions:The ultra-selective uterine artery embolism with PVA or natural silk segment as a new micro-wounded therapyhas a good short-term effect for hysteromyoma.Its long-term effect needs further study.关键词
子宫肌瘤/动脉栓塞/聚乙烯乙醇/真丝线段分类
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徐军,韩崎平,孙蕾,钱晓峰,王玲,徐丛剑..聚乙烯乙醇与真丝线段栓塞子宫动脉治疗子宫肌瘤的临床研究[J].现代妇产科进展,2001,10(2):99-101,3.
