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目的探讨子宫动脉栓塞术治疗子宫腺肌病的疗效及副作用。方法选择自愿接受介入治疗的子宫腺肌病患者26例,采用Seldinger技术经皮股动脉穿刺插管行子宫动脉栓塞治疗,栓塞剂为海藻酸钠微球(KMG)、新鲜明胶海绵颗粒。结果治疗后患者痛经缓解率为88%,痛经减轻或消失,子宫及腺肌瘤体积减小。月经量明显减少,贫血改善。结论子宫动脉栓塞术可明显缩小子宫及腺肌瘤体积,改善子宫腺肌病的临床症状。
Objective To investigate the efficacy and side effects of uterine artery embolization in the treatment of adenomyosis. Methods Twenty-six patients with adenomyosis who were volunteered for interventional therapy were treated with percutaneous femoral artery catheterization with Seldinger technique. The embolic agent was sodium alginate microspheres (KMG) and fresh gelatin sponge particles. Results After treatment, patients with dysmenorrhea remission rate of 88%, dysmenorrhea to reduce or disappear, the uterus and adenomyosis volume decreased. Menstrual volume decreased significantly, anemia improved. Conclusion Uterine artery embolization can significantly reduce the volume of uterine and adenomyoma and improve the clinical symptoms of adenomyosis.