【摘要】 目的　观察子宫肌瘤患者行动脉栓塞术后近、中期肌瘤体积 ,子宫及肌瘤血流的变化 ,临床症状的改善及女性激素水平变化的特点。方法　对 40例子宫肌瘤患者进行一次性双侧子宫动脉栓塞术术前及术后 3月、6月、9月、12月、2 4月、3 6月及 48月定期做超声测定肌瘤体积 ,子宫及肌瘤血流状态 ,定期测定血液中各类女性激素浓度 ,随访患者临床症状的变化。结果　所有患者术后各个时期随访 ,肌瘤内都未见血流信号。统计学数据表明 ,术后各期正常子宫血流与术前比较无显著差异。术后各期月经较术前明显改善 ,肌瘤显著缩小 ,与术前比较有显著差异。其中 ,术后 3～ 9月肌瘤持续缩小 ,且术后 3～ 9月之间各期肌瘤体积有显著差异 ,术后 9～48个月之间各期肌瘤大小测定无显著差异。术后各期HCG ,LH ,E2 ,FSH ,PRL ,P ,T激素水平与术前比较无差异。结论　子宫肌瘤栓塞术是一种有效的治疗手段更多还原

【Abstract】 Objective To observe the changes of uterine myoma volume,blood flow of uterus and uterine myoma,the level of female sex hormone and the improvement of clinical symptoms in the patients with uterine myoma after uterine arterial embolization(UAE).Methods Bilaterial UAE was performed in 40 patients with uterine myoma befor UAE and 3,6,9,12,24,36,48 months after UAE and the volume of myoma,blood flow of uterus and uterine myoma were measured regularly with ultrasonics.The concentration of every female sex hormone in the blood was also measured regularly,the changes of clinical symptom were followed-up regularly.Results No signal of blood flow was found in all myomas in every period after UAE.Statistics showed that there was no obvious differente in uterine blood flow between in every period after UAE,and before UAE.After UAE,menses was improved,the volume of myoma was reduced consistently in 3 to 9 months after UAE.But there was no obvious difference of moyomas in size in the time from 9 to 48 months after UAE.There was no obvious difference of concentration of HCG,LH,PRL,P,T,E 2,FSH after UAE compared with that before UAE. Conclusion For uterine leiomyoma,UAE is a effective therapeutic method.更多还原