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磁共振检查在子宫动脉栓塞术治疗子宫肌瘤疗效评价中的应用

郁无瑕 姚伟武 钱朝霞

诊断学理论与实践2017,Vol.16Issue(2):221-226,6.
诊断学理论与实践2017,Vol.16Issue(2):221-226,6.DOI:10.16150/j.1671-2870.2017.02.020

磁共振检查在子宫动脉栓塞术治疗子宫肌瘤疗效评价中的应用

Magnetic resonance imaging in evaluating the therapeutic efficacy of uterine artery embolization for uterine leiomyoma

郁无瑕 1姚伟武 1钱朝霞2

作者信息

  • 1. 上海交通大学附属第六人民医院放射科,上海 200233
  • 2. 中国福利会国际和平妇幼保健院放射科,上海 200030
  • 折叠

摘要

Abstract

Objective:To evaluate the therapeutic efficacy of uterine artery embolization for leiomyoma by MRI. Methods: Seventeen patients with leiomyoma (39 leiomyomas) undergone uterine artery embolization with Seldinger's method were enrolled and the indices of uterine leiomyoma were recorded, including volume, major axis, number, signals and ADC on magnetic resonance imaging before and 3 months,6 months after the procedure as well as the clinical symp-toms. Results: The average volume of 39 leiomyomas was reduced by 79.72%. Meanwhile, the average of total major axis was reduced by 44.92%. And the symptoms of 9 patients with menorrhagia improved markedly, the symptoms of 7 of the 9 patients with severe dysmenorrhea relieved dramatically. After treatment, signal intensity on T1WI imaging was increased in 84.62% lesions, while ADC values were decreased in 82.05% lesions. Conclusions: MRI is a preferable approach to evaluate the efficacy of uterine artery embolization.

关键词

子宫肌瘤/子宫动脉栓塞术/磁共振成像/弥散加权成像

Key words

Leiomyoma/Uterine artery embolization/Magnetic resonance imaging/Diffusion magnetic resonance imaging

分类

医药卫生

引用本文复制引用

郁无瑕,姚伟武,钱朝霞..磁共振检查在子宫动脉栓塞术治疗子宫肌瘤疗效评价中的应用[J].诊断学理论与实践,2017,16(2):221-226,6.

诊断学理论与实践

OACSTPCD

1671-2870

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