【摘要】 目的: 对照研究子宫动脉栓塞术治疗子宫肌瘤中两种栓塞剂的中短期疗效。方法: 36例患者, 临床症状均为月经量过多, 不同程度贫血、盆区疼痛, 术前检查明确诊断为子宫肌瘤, 根据栓塞剂的不同随机分为 2组, Ⅰ组 22例采用平阳霉素-碘油乳剂+真丝线段, Ⅱ组 14例采用PVA+真丝线段, 两组中肿瘤直径均大于 5cm×5cm, 所有患者均为 1次栓塞。结果: 插管成功率 98. 6%, 随诊 3~6个月, B超显示两组肿瘤平均体积分别缩小了 57%、64%和 54%、65%, 其中 1例肿瘤消失, 所有患者术后贫血症状改善, 月经恢复正常, 无严重并发症, 两组间未见显著差异。结论: 两种栓塞剂治疗子宫肌瘤在技术成功率、肿瘤缩小率和临床有效率等方面无显著差异 (P>0 .05), 但Ⅱ组术后缺血性疼痛更明显, PLE值得推广。更多还原

【Abstract】 Objective:To Compare and assess the clinical effects of two artery embolization methods for treatment in uterine fibroids with selective uterine artery embolization.Methods:36 cases were randonly devided into two groups with different embolization.Ⅰgroup :22 cases were treated with PYM and Lipido-Morrhuate Sodium and the silk fragment , Ⅱ group: 14 cases were performed with PVA and the silk fragment. All patients with refractory vaginal bleeding, pelvic pain , different lever anemia . UF were clear-cut diagnosed before the treatment only once . All the diameter of myomas more than 5×5 cms .Results:98.6% patients underwent technically successful embolization.B-made ultrasound examination follwing 3~6 months after the procedure revealed an average shrinkage of 57~64% in volume of the masses for Ⅰ group and 45~65% for Ⅱ group , with 1 UF disappeared,menorrhagia controlled and anemia resolved . No serious complications related to the procedure have occurred . There was no statistical difference between the measurements of the two groups.Conclusion:There is no statistical difference between the successful rate of catheterization , average shrinkage and the clinical effects in two kinds embolization .But ache occluding blood supply is very apparent in Ⅱ group , and the PLE deserve the expansion .更多还原