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子宫动脉栓塞治疗子宫肌瘤的临床效果观察

王兆杰 韩瑞旸 李润根 杨眉 毛全芳

中国妇幼健康研究2011,Vol.22Issue(1):83-85,3.
中国妇幼健康研究2011,Vol.22Issue(1):83-85,3.DOI:10.3969/j.issn.1673-5293.2011.01.033

子宫动脉栓塞治疗子宫肌瘤的临床效果观察

A clinical observation of therapeutic effect of uterine artery embolization for hysteromyoma

王兆杰 1韩瑞旸 1李润根 1杨眉 1毛全芳1

作者信息

  • 1. 兵器工业五二一医院,陕西,西安,710065
  • 折叠

摘要

Abstract

Objective To observe clinical therapeutic effect of superselective uterine artery embolization (UAE) for hysteromyoma.Methods 31 patients with hysteromyoma were selected. Femoral artery puncture was done by using Seldinger' s method, and 4F or 5F of RH, Yashiro, Cobra, or RUC catheter was catherized into femoral artery of the patient with hysteromyoma. After the artery was confirmed as supply artery of hysteromyoma by angiography, embolic materials were injected into the artery through a catheter. Embolic materials used for 25 patients were pinyangmycin and lipiodol emulsion(PLE) + gelatin sponge (GS)strip, and those for 6 patients were PVA polyvinyl alcohol particles ( diameter: 250-750μ m) + gelatin sponge (GS) strip. Embolism dose was determined according to size and blood supply of the hysteromyoma in order to completely block blood flow of the uterine artery. Results The success rate of embolization was 100.00%. The symptoms of 31 patients were improved at varied degrees, of which 16 patients cured (accounting for 51.61% ), those of 12 patients were partially remissed ( accounting for 38.71% ), and those of 3 patients were ineffective ( accounting for 9.67% ). The total effective rate was 90.32%. Conclusion Superselective UAE is a safe and effective method for treatment of hysteromyoma.

关键词

子宫肌瘤/子宫动脉/栓塞术/治疗效果

Key words

hysteromyoma/ uterine artery/ embolization/ treatment

分类

医药卫生

引用本文复制引用

王兆杰,韩瑞旸 ,李润根,杨眉,毛全芳..子宫动脉栓塞治疗子宫肌瘤的临床效果观察[J].中国妇幼健康研究,2011,22(1):83-85,3.

中国妇幼健康研究

OACSTPCD

1673-5293

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