【摘要】 目的 :评价选择性子宫动脉平阳霉素、碘油乳剂 (PLE)灌注及栓塞 ,治疗子宫肌瘤的临床疗效及安全性。方法 :对30例子宫肌瘤患者行选择性子宫动脉PLE灌注及明胶海绵颗粒栓塞 ,随访3～18个月 ,观察子宫及肌瘤缩小的程度及临床症状缓解情况。结果 :栓塞技术成功率100%。子宫动脉造影显示肌瘤外层血管增粗纡曲 ,分支数量增多 ;肌瘤内部见致密的毛细血管网。30例栓塞后6个月 ,临床症状明显改善 ,肌瘤体积平均缩小约48% ,总有效率达100%。结论 :PLE选择性子宫动脉栓塞治疗是一种安全可靠创伤小 ,疗效高的好方法更多还原

【Abstract】 Objective:To evaluate the effecfiveness and safety of uterine anterial embolization wigh Pinmyangmycin(a homogenous bleomycin)Lipiodol emulsion(PLE)for symptomatic uterine fibroidol.Methods:Uterine arterial embolization with PLE and gelatin foam granule was performed in30patients.The improvement of symptoms and uterine size changes were follwed up in3～18months after the proce-dure.Results:100%of the cases were seccessfully treated with embolization Supersective angiography showed enlargement of uterine artery,ac-companicd by tortuous branches Six months after the procedure,a mean48%reduction of uterine volume was obtained in30follwed-up cas-es.The clinical symptoms were relieved significantly,The effestiveness reached up to100%.Conclusion:Uterine arterial embolization with PLE is a safe,reliable good and non-surgical therapy in symptomatic uterine fibroids.更多还原