【摘要】 目的:评价聚乙烯醇(PVA)颗粒超选择栓塞子宫动脉治疗症状性子宫肌瘤的临床疗效。方法:对28例症状性子宫肌瘤患者行选择性髂内动脉造影,了解子宫动脉近端开口及走行,用PVA颗粒与表柔比星混悬剂超选择栓塞双侧子宫动脉,随访3～12个月,观察栓后症状缓解情况及子宫与肌瘤体积缩小程度。结果:栓塞技术成功率100%,全部病例症状改善率92.8%,其中月经完全恢复正常占88%,下腹部、腰腿胀痛80%消失,轻中度贫血全部恢复正常,重度贫血明显改善。栓后3、6、12个月瘤体平均缩小47.2%,61.7%,78.4%,有3例粘膜下小肌瘤完全消失;无1例出现严重并发症。结论:PVA颗粒超选择栓塞子宫动脉治疗症状性子宫肌瘤临床上安全、有效。更多还原

【Abstract】 Objective:To evaluate the clinical efficiency of superselective uterine arterio-embolization in treating uterine leiomyoma .Methods:Twenty-eight patients with uterine leiomyomas were included in the study.Improvement of symptom s and the size of uterine leiomyoma were observed in3～12months.The successful rate of embolization reached100%.The im-provement rate reached92.8%.The menstruation resumed normal in88%,with improvement of anemia.The decrease in tu-mors size was47.2%,61.7%,78.4%respectively after3,6and12months.Results:As a minimal invasive technique,PVA u-terine arterial embolization is an effective and safe management for the treatment of uterine leiomyoma.Conclusion:PVA su-perselective uterine arterio-embolization is safe and effective in treating uterine leiomyoma.更多还原