中国实用妇科与产科杂志2013，Vol.29Issue(6)：434-437,4.
子宫动脉栓塞治疗子宫腺肌病中长期疗效观察
Long-term results and influencing factors of uterine artery embolization in the treatment of adenomyosis
摘要
Abstract
Objective To evaluate the dysmenorrhea score of uterine adenomyosis with or without uterine leiomyomata after uterine artery embolization (UAE) and explore the technique of UAE.Methods 167 women with symptomatic uterine adenomyosis with or without combined uterine leiomyomata diagnosed by magnetic resonance imaging underwent UAE between June 1999 and November 2005.They were divided into two groups.Group A was adenomyosis with combined uterine leiomyomata and group B was not.Dysmenorrhea score of patients five years after UAE were collected.Results Patients were followed for a median of 72 months (range 3-120 months),The follow-up rate of 1 to 5 years after UAE was 85.6％ (143/167),82％ (137/167),78.4％ (131/167),71.9％ (120/167),64.7％ (108/167),respectively.The Clinical effect rate of 1 to 5 years after UAE of group A was 85.71％,85％,78.95％,80.55％,79.41％,respectively.It was 78.21％,72.16％,66.67％,65.47％,58.11％ in group B,respectively(P =0.30,0.11,0.16,0.10,0.03).The efficient rate of two groups were tending to decline.Significant difference between women with pure uterine adenoymosis and women with uterine adenomyosis combined with uterine leiomyomata was observed in the fifth year.Conclusion Weshould select different diameter and dose of embolic agents according to the blood supply features when uterine artery em bolization treat for simple adenomyosis and adenomyosis with hysteromyoma,in order to achieve complete embolism and to improve clinic effects.关键词
子宫动脉栓塞术/子宫腺肌病/子宫肌瘤/疗效/痛经Key words
uterine artery embolization/ adenomyosis / uterine leiomyomata/ effect/ dysmenorrheal分类
医药卫生引用本文复制引用
陈春林,祝江红,刘萍,马奔,王黎,唐怡欣,徐玉静..子宫动脉栓塞治疗子宫腺肌病中长期疗效观察[J].中国实用妇科与产科杂志,2013,29(6):434-437,4.基金项目
国家自然科学基金(30970762) （30970762）
广东省自然科学基金(10151051501000102) （10151051501000102）
