肌瘤相关动脉栓塞治疗子宫肌瘤

【作者】 蒋忠仆； 毛东让； 申麒； 王海亭； 任丽军； 黄力光； 王军；

【机构】 开封市第一人民医院放射科；

【摘要】 目的:评价肌瘤相关动脉栓塞对症状性子宫肌瘤的疗效和副作用。方法:38例症状性子宫肌瘤患者进行了超选择性肌瘤相关动脉栓塞。随访6—24个月,观察肌瘤缩小程度,临床症状改善情况及副作用。结果:33例(87%)一次栓塞肌瘤即缩小大于40%,临床症状消失或明显减轻;5例需再次栓塞。副作用轻微,无严重的须治疗的并发症。结论:初步报告显示,肌瘤相关动脉栓塞治疗子宫肌瘤。疗效满意,操作简单并可明显减轻栓塞后综合症的程度。更多还原

【Abstract】 PURPOSE:To determine the effectiveness and side effects off ibroid-related arterial embolization for symptomatic leiomyomas. METHODS:Superselective fibroid-related arterial embolizafion with PLE(Pinyangmycin Lipiodol emulsion) was performed in 38 patients (age range 26-50 years,mean age 42.5 yeas) with menorrhagia (of 28 case,74%),frequency of urination,sensation of pressure or/and sensation of mass (of 10 case,26%),due to leiomyomas.The fibroid size changes,the improvement of symptoms and the side effects were followed up in 6-24months(mean 14 months) after the procedure. RESULTS:Thirty-three (86.8%) of the 38 patients had successful procedure on the one time and five (13.2%) need another procedure.Follow-up CT examinations showed a mean 78.4% reduction in fibroid diameter and a mean 80.3% reduction in fiboroid volume.All patients reported marked imprvement in their abnormal bleeding and in other bulk-related symptoms.There was no the main side effects. CONCLUSION:Fibroid-related arterial embolization is an effective therapy in the management of symptomatic lieomyomas.Further investigation is warranted.更多还原