【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36例症状性子宫肌瘤患者行单侧股动脉插管双侧髂内动脉及选择性双侧子宫动脉造影以了解肿瘤血供后,使用PVA栓塞双侧子宫动脉并随访3～30个月(平均18个月),用B超、CT或MRI检查观察疗效。结果:36例右股动脉穿刺操作全部成功,子宫肌瘤动脉造影,表现为子宫动脉明显增粗、迂曲、分支增多、子宫增大、肿瘤染色明显。栓塞后肌瘤染色灶明显消失,子宫肌瘤缩小率49.1%～92.6%。结论:PVA栓塞治疗子宫肌瘤安全性高、痛苦小且近期疗效优良。更多还原

【Abstract】 Objective: To evaluate the clinical efficiency of superselective uterine arterio-embolization with polyvinyl alcohol(PVA) in treating uterine leiomyoma. Methods: Thirty-six patients with uterine myoma underwent bilateral uterine artery embolization with PVA. Ultrasound follow-up were obtained. All cases were followed up from 3 to 30 months(average 18 months). Results: Right femoral artery were successfully punctured in all cases. Superselective angiography showed enlargement of uterine artery accompanied by tortuous branches which were significantly stained and empty slowly, after embolization the tumor stained disappeared. The effective rate was 49.1%～92.6%. Conclusion: Uterine artery embolization with PVA for the treatment of uterine myoma is a safe and easy technique with very good clinical efficacy.更多还原