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子宫动脉栓塞期间卵巢动脉返流的分析
Analysis of reversal flow in ovarian artery during uterine arterial embolization
【摘要】 目的:探讨子宫动脉与卵巢动脉之间的交通特点,防止栓塞剂逆流造成误栓形成永久性闭经。材料与方法:75例子宫肌瘤病人在栓塞治疗前血管造影有22例出现造影剂逆流入卵巢动脉,占29.33%。结果:22例造影卵巢动脉逆流的病人中,子宫肌瘤的平均缩小率为34%,小于患子宫肌瘤而造影中无卵巢动脉返流的平均缩小率47%。4例(18.18%)卵巢动脉部分性栓塞而闭经。其中3例为暂时性(13.64%),1例(4.55%)为永久性。结论:子宫动脉栓塞存在卵巢动脉逆流造成永久性闭经的可能。
【Abstract】 Objective: To study the characteristic of the arterial communication between the areas supplied by uterine and ovarian arteries and to prevent pingyangmicin lipiodol emulsion(PLE) go in the direction of the ovarian to cause perpetual menopause. Methods: Twenty-two cases in the 75 patients(29.33%) of myoma demonstrated transient reflux in the direction of the ovarian artery when angiography is performed before uterine arterial embolization(UAE). Results: Mean reduction of myoma volume in these patients was 34%. It was smaller than other patients(47%) of myoma that did not have transient reflux of ovarian artery and other reports. Menopause in four patients(18.18%) appeared, in three patients(13.64%) it was transient, in one case it was perpetual. Conclusion: It is possible that the reflux of ovarian artery cause perpetual menopause during UAE.
【Key words】 embolization, therapeutic; amenorrhea; radiology, interventional;
- 【文献出处】 中国临床医学影像杂志 ,Journal of China Medical Imaging , 编辑部邮箱 ,2004年08期
- 【分类号】R737.33
- 【被引频次】8
- 【下载频次】70