【摘要】 目的观察经导管子宫动脉栓塞(TUAE)治疗子宫肌瘤的并发症,评价其远期安全性,并分析原因。方法198例子宫肌瘤患者行TUAE治疗,所有病例均行双侧子宫动脉栓塞,栓塞剂为碘油平阳霉素乳剂,其中186例加用了明胶海绵颗粒栓塞。其中138例随访1～3年以上,观察患者并发症情况,结果观察到并发症包括臀部瘀血溃烂(1例),小阴唇溃疡(1例)、尿潴留(12例)、尿路感染(1例)、阴道排泄坏死肌瘤组织(8例)、卵巢囊肿继发感染(1例)、子宫内膜增厚与钙化(1例)以及闭经(2例)。结论TUAE治疗子宫肌瘤基本是安全的,个别患者可以引起严重的并发症或后遗症,因此应严格选择病例。更多还原

【Abstract】 Objective To observe complications of transcatheter uterine artery embolization (TUAE) for uterine fibroids and to evaluate its long- term safety Methods One hundred and ninety- eight women with uterine fibroids were treated by TUAE. The bilateral TUAE were performed using lipildol- pingyangmycineemulsion(LPE) and gelatin sponge partcles in 186 women. Among them, 138 patients were followed up for 1 to 3 years and conphications were observed. Results Complications included ecchymosis and ulceration on buttock(n=1); ulcer of latia minora(n=l); urinary retention(n=12); urinary tract infection(n=l); expelling of necrotic fibroids via vagina(n=5); secondary infection of chocllate cyst of ovary(n=1); increasing in endometrial thickness and calcification(n=1) and amenorrhea(n=2).Conclusion TUAE is a treatment with long- term safety ,while severe complications or sequelae may occur to a few patients , so strict indication should be insisted in patient selection. [更多还原