【摘要】 [目的 ]探讨经导管子宫动脉栓塞术 (TUAE)治疗症状性子宫腺肌病的效果。 [方法 ]所有病例均采用经导管两侧子宫动脉注射碘油平阳霉素乳剂加明胶海绵条栓塞 ,其中碘油用量 8～ 10ml(平均 9ml) ,平阳霉素用量 8mg ,明胶海绵 1 0～1 5块。 [结果 ]所有病例平均随访 2 0 2个月 ,痛经缓解有效率达 10 0 0 % (其中痛经消失占 85 7% ) ;月经改善有效率达10 0 % ;栓塞后 6个月血红蛋白浓度均得到显著升高或恢复正常 ;栓塞后 6个月B超复查子宫体积平均缩小 4 6 6 %。所有病例无严重并发症发生。 [结论 ]TUAE治疗症状性子宫腺肌病具有较好的疗效 ,但有待大样本进一步观察。更多还原

【Abstract】 [Objective]To investigate the efficiency of transcatheter uterine artery embolization (TUAE) for the treatment of symptomatic adenomyosis.[Materials and Methods]Bilateral uterine aterial embolization with Lipiodol, pingyangmycin emulsion and Gelfoam strip was carried out in all patients. Lipiodol of 8～10ml (mean 9 ml) ,pingyang mycin of 8mg and Gelfoam strip 1.0～1.5 flaps were used.[Results]The mean duration of follow-up was 20.2 months. Improvement of dysmenorrhoea was obtained at the rate of 100.0% (completely disappeared at 85.7%), and improvement of menorrhagia at 100%. The hemoglobin concentration was significantly increased or restored to normal in 6 months after the surgery. Ultrasonic reexamination 6 months after TUAE showed that the uterine volume was decreased by a mean of 46.6%.No serious complications occurred in all cases.[Conclusion]TUAE shows good effect in the treatment of symptomatic adenomyosis although large sample is needed for further observations.更多还原