【摘要】 目的 :探讨治疗子宫肌瘤的新方法。方法 :首次以真丝线段颗粒为栓塞剂 ,运用介入血管插管技术超选择栓塞双侧子宫动脉治疗 30 0例子宫肌瘤。①两次栓塞法 :分次栓塞双侧子宫动脉。②一次栓塞法 :一次穿刺同时栓塞双侧子宫动脉。结果 :①子宫肌瘤血管造影表现 :小肌瘤无阳性征象。大肌瘤血供非常丰富 ,部分肌瘤血供来自肌瘤侧子宫动脉 ,部分肌瘤双侧子宫动脉均参与供血。另外 ,发现 10例患者一侧子宫动脉发育缺如 ,此种变异尚未见报道。②肌瘤较术前明显缩小 ,临床有效率 98.4%。③贫血明显改善。④月经量减少 ,经期恢复正常。结论 :真丝线段颗粒栓塞双侧子宫动脉治疗子宫肌瘤是一种疗效好、创伤小的新方法 ,值得应用和推广更多还原

【Abstract】 Objective:To evaluate bilateral uterine arterial embolization with silk particles for uterine fibroids.Methods:300 patients with uterine fibroids were performed bilaterial uterine arterial embolization with silk particles.The procedure was accomplished at two times or one time.Two times embolization meant bilateral uterine arteries were separately embolized three days apart , and one time embolization meant bilateral uterine arteries were embolized with unilateral femoral artery catheterization at one time. Results :Angiograms of small uterine fibroids showed negative findings,but large fibroids showed abundant feeding vessels.Some fibroids were supplied from ipsilateral uterine artery,and some from bilateral uterine arteries.In 10 patients there was only one uterine artery.The size of most fibroids shrinked greatly after embolization and the effective rate was 98.4%.Following embolization,anemia was markedly improved, the amount of menstrual blood reduced and the menstrual period returned to normal.Conclusion:Bilateral uterine arterial embolization with silk particles as embolic material is an effective and microinvasive method of treating uterine fibroids.更多还原