【摘要】 目的 :探讨不同镇痛方法对子宫动脉栓塞后疼痛的镇痛效果与临床应用价值。方法 :根据不同的镇痛方法 ,将 5 2例确诊为子宫肌瘤的患者分为A组 (肌注哌  啶 )、B组 (宫腔浸润麻醉 )、C组 (患者自控止痛术 ,PCA) ,行子宫动脉超选插管造影、栓塞 ,观察栓塞后疼痛的发生并作出评价。结果 :A组疼痛发生率 10 0 %,镇痛优良率 0 %,B组、C组的疼痛发生率明显低于A组 ,分别为 16.7%和 5 .3 %(背景剂量 +自控量为 0 %) ,镇痛优良率分别为 89%和 10 0 %。结论 :A组效果欠佳 ,B、C组效果优良 ,可有效控制疼痛症状 ,保证手术顺利进行和术后恢复更多还原

【Abstract】 Objective:To assess the antalgic effect of different antalgic methods in UAE procedures.Methods:52 patients with hysteromyoma were divided into three groups:group A (Intramuscular injection with dolantin),group B (uterine cavity infiltration anaesthesia) and group C (PCA).Uterine artery embolization was performed and pain after the procedure was observed and documented for statistic study.Results:Pain occured in all patients of group A (100%).The incidence of pain in group B and C was lower than that of group A (16.7% and 5.3% respectively).Conclusion:Uterine cavity infiltration anaesthesia or selfcontrolled analgesia are better way of analgesia for uterine artery embolization.更多还原