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子宫肌瘤栓塞治疗超声复查疗效分析
Ultrasonographic follow-up study of transcatheter embolization for uterine fibroids
【摘要】 目的:探讨子宫肌瘤栓塞后吸收、缩小的程度与时间的关系。材料与方法:42例子宫肌瘤超选双侧子宫动脉插管,用直径355~500μm的PVA100mg,栓塞不充分的加明胶海绵。结果:39例栓塞双侧子宫动脉,多以一侧为主,3例栓塞一侧子宫动脉,术后2,4,6,12个月复查超声,肌瘤平均缩小为:2月30%,4月45%,6月65%,12月80%。结论:子宫动脉栓塞治疗应用超声复查对比准确可信,肌瘤缩小与时间关系因肌瘤的大小、类型、栓塞程度的不同而异。
【Abstract】 Objective:To investigate th e decrease extent of fibroid volume with elapse of time postoperative by ul trasono-graphic follow up.Meth ods:After selective catheterization of the bi lateral uterine arteries,forty-two cases of uterine fibroids were treated by uterine artery embolization with100mg PVA particles of 355~500ìm,a nd supplemented with gelatin sponge particles when necessary.Re sults:Thirty- nine of 42cases underwent bilateral uterine artery embolization,unilateral e mbolization in3cases.Ultrasonographic follow up were obtained at2months,4mo nths,6months and12months respectively after the treatment.Average decrease of fibroid volume was30%at2months,45%at4months,65%at6months and 80%at12months after the procedure separately.Conclusion:Ultrasonographic examination represents a reliable method of follow up after embolization.The d iminution of fibroid volume varied with its size,type,and embolized extent as well.
【Key words】 uterine neoplasms; leiomyoma; embolism,cholesterol; ultraso nography;
- 【文献出处】 中国临床医学影像杂志 ,Journal of China Medical Imaging , 编辑部邮箱 ,2002年S1期
- 【分类号】R737.33
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