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目的探讨经导管子宫动脉栓塞术治疗子宫肌瘤的临床疗效。方法对58例症状性子宫肌瘤患者行选择性子宫动脉栓塞术,观察术后症状缓解情况和肌瘤缩小情况。结果56例栓塞双侧子宫动脉,2例栓塞单侧子宫动脉。随访3~12个月,56例患者临床症状明显改善,1例超大肌瘤患者8个月后复发,手术切除。B超显示瘤体缩小42%~90%,主要并发症为术后疼痛。结论子宫动脉栓塞术是一种安全、有效的治疗子宫肌瘤的方法。
Objective To investigate the clinical efficacy of transcatheter uterine artery embolization for uterine fibroids. Methods Fifty - eight patients with symptomatic uterine fibroids underwent selective uterine arterial embolization, and the postoperative symptom relief and fibroids shrinkage were observed. Results 56 cases of bilateral uterine artery embolization, 2 cases of unilateral uterine artery embolization. The follow-up of 3 to 12 months, 56 patients with clinical symptoms improved significantly, 1 case of hypertrophic myoma recurrence after 8 months, surgical resection. B ultrasound showed that the tumor narrowed 42% to 90%, the main complication of postoperative pain. Conclusion Uterine artery embolization is a safe and effective method of treating uterine fibroids.