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目的 评价经导管子宫动脉栓塞 (UAE)对症状性子宫平滑肌瘤 (UF)的疗效并探讨治疗技术。方法 10例患者主要症状包括阴道出血 (月经过多 ) ,盆腔压迫症状 (尿频 ) ,盆区疼痛。UF的诊断经影像学检查和专科医师检查确定 ,并排除与症状有关的其它妇科疾病。 10例患者行 11例次子宫动脉栓塞 ,其中双侧者 10例次 ,单侧者 1例次。栓塞剂为PVA微球。结果 栓塞技术成功率为 10 0 % ,无严重并发症。随访 9例 ,术后症状有明显改善者 8例 ,无明显效果者 1例 ,与仅行单侧栓塞有关。术后 2个月肿瘤体积平均缩小 42 %。结论 UAE是治疗UF的安全方法 ,近期疗效优良 ,远期疗效尚有待观察。
Objective To evaluate the efficacy of transcatheter uterine arterial embolism (UAE) on symptomatic uterine leiomyomaris (UF) and to explore the therapeutic technique. Methods The main symptoms of 10 patients included vaginal bleeding (menorrhagia), pelvic compression (urinary frequency) and pelvic pain. The diagnosis of UF was confirmed by imaging examination and specialist examination, and other gynecological diseases related to symptoms were excluded. Ten patients underwent sub-uterine arterial embolization, of which 10 were bilateral and 1 was unilateral. Embolization agent for the PVA microspheres. Results The success rate of embolization was 100% without serious complications. Follow-up in 9 cases, postoperative symptoms were significantly improved in 8 cases, no significant effect in 1 case, and only unilateral embolization. Tumor volume decreased by 42% on average after 2 months. Conclusions UAE is a safe method for the treatment of UF. The recent curative effect is good, and the long-term curative effect remains to be seen.