【摘要】 目的　研究子宫动脉栓塞治疗粘膜下子宫肌瘤的临床效果。资料与方法　采用Seldinger技术经股动脉或左锁骨下动脉穿刺 ,置入 4F或 5FCobra导管选择性插入双侧子宫动脉 ,动脉造影后注入自制真丝线段微粒栓塞双侧子宫动脉 ,阻断肌瘤血供。结果　子宫动脉栓塞后 ,粘膜下肌瘤因缺血发生萎缩、坏死等改变 ,并在治疗后 1～ 3个月内全部自行脱落或部分娩出。肌瘤娩出后 ,无论瘤蒂多粗均可直接切断 ,局部不需缝扎处理 ,无活动性出血发生。子宫形态、月经量在短时间内可恢复正常 ,贫血症状逐步改善 ,临床有效率达到 10 0 %。结论　选择性子宫动脉插管及栓塞方法是治疗粘膜下肌瘤的最佳选择。更多还原

【Abstract】 Objective To study the clinical effectiveness of uterine artery embolization in the treatment of submucous hysteromyomas. Materials and Methods With Seldinger technique, 4F or 5F Cobra catheter was inserted via femoral artery or left subclavicular artery and successively placed into bilateral uterine arteries. After the lesion was confirmed angiographically, self made silk segments and particles were injected to occlude, successively, bilateral uterine arteries.Results After the uterine artery was occluded, the submucous hysteromyomas became gradually atrophied and necrotized due to ischemia, and the whole or partial tumor would fall off by itself in 1～3 months after the surgery. When the lesion was excreted from the body, its pedicle, regardless of its thickness, could be cut off. Suturing the incision was not necessary, as no active bleeding would occur. The uterus shape and the menstruation returned to normal condition in a rather short time. The symptoms of anemia would also gradually disappear. Clinical effectiveness was obtained in all patients (100%).Conclusion Selective uterine artery embolization is the optimal choice in the treatment of submucous hysteromyomas.更多还原