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1、子宫动脉栓塞术治疗子宫肌瘤22例【关键词】子宫肌瘤关键词：子宫肌瘤;子宫动脉;栓塞，治疗性摘要：目的对不同类型子宫肌瘤进行子宫动脉栓塞治疗的临床应用研究，了解此方法疗效、副反应及并发症，探索治疗子宫肌瘤的新方法.方法对22例以子宫出血、月经失常、贫血、下腹包块等为主要表现的子宫肌瘤患者进行双侧子宫动脉栓塞(1次,碘化油用量以瘤染色消失为限)，随访复查瘤体大小、出血多少、月经、贫血等方面的变化.结果随访12m。，瘤块均有不同程度的缩小［其中，粘膜下肌瘤由术前(8.7±1.2)cm缩小至(2.0±0.9)cm,P<0.01;肌壁间肌瘤由术前(7.2±0.8)c
2、m缩小至(1.4±0.4)cm,P<0.01;浆膜下肌瘤由术前(6.4±0.9)cm缩小至(2.0±0.7)cm,P〈0.01］,所有子宫出血病例,月经恢复正常;贫血病例，血红蛋白升至正常范围［其中，粘膜下肌瘤由术前(7.2±1.7)cm升至(13.7±1.9)gL-l,P<0.01;肌壁间肌瘤由术前(9.8±0.6)gL-1升至(13.6±1.8)gL-1,P<0.01;浆膜下肌瘤由术前(10.5±1.2)gL-1升至(14.0±2.6)gL-l,P<0.01]•无严重并发症发生.结论子宫动脉栓塞术是治疗各类子宫肌瘤的安全、有效的新方法，对r想保留子宫、
3、不愿手术、有手术禁忌证等情况的子宫肌瘤患者，不失为良好的选择.Uterinearterialembolizationtherapyfor22patientswithhysteromyomaGUOWei-Pign,ZHANGHong-Xin,NXDai-Hui,WANGZhi-Ming,WANGYi-Qing,LIWen-Xian,LIUYan,HANRui-YangDepartmentofInterventionalRadiology,TangduHospital,FourthMilitaryMedicalUniversity,Xi?an710038,Ch
4、inaKeywords:hysteromyoma;uterinearterial;embolization,therapeuticAbstract:AIMToassessthecurativeeffects,sideeffect-sandcomplicationsofuterinearterialembolizartiontherapyforhysteromyoma.METHODSBilateraluterinearterialembolization(onlyonce,moderatelipidoluntiltheimagingoftumordisppe
5、ared)wasperformedon22patientssufferingfromhysteromyomawiththesignsofuterinehemorrhage,anemiaorabdomenalmass,menorhagia.Changesoftheamountofuterinehemorrhage,theseriousnessofanemiaandthesizeoftumorswereobservedduringfollow-upcheckups・RESULTS12monthsafterthetreatment,thetumorsinallc
6、aseswerefoundshrunkinvarieddegrees[submucousre-ducedfrom(8・7±1・2)to(2.0+0.9)cm,P<0.01:leiomy-omareducedfrom(7.2+0.8)to(1.4+0.4)cm,P<0.01;reducedfrom(6.4+0.9)to(2.0±0・7)cm,P〈0.01]・Ab-normaluterinehemorrhageandanemiadisappeared[submu-cousdincreasedfrom(7.2+1.7)to(13・7±1.9)gL~1,P<0.0
7、1;leiomyomaincreasedfrom(9.8±0.6)to(13.6±1.8)gL-l,P<0.01;subserousincreasedfrom(10.5±1.2)to(14.0+2.6)gL-l,P<0.01].Noseriouscompli-cationsoccurred.CONCLUSIONUterinearterialemboliza-tion,asafeandeffectivetherapy,mightbethefirstchoiceforthepatientswhoareunwillingtoruntheriskofasurger
8、y,tokeeptheirutenus,orsufferfroms
