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目的探讨无痛子宫动脉栓塞术治疗子宫肌瘤的效果及其临床症状改善情况。方法选取82例子宫肌瘤患者,根据数字表法随机分为对照组和观察组,每组各41例。对照组患者给予传统手术治疗,观察组患者进行无痛子宫动脉栓塞术治疗。对比两组患者术前术后临床症状改善情况和术后肌瘤体积变化情况。结果观察组患者术后下腹胀痛、压迫症状及月经异常症状明显少于对照组,观察组治疗前后血红蛋白(Hb)变化情况低于对照组(P<0.05);观察组患者术后肌瘤缩小比例及肌瘤复发率明显小于对照组(P<0.05);观察组患者3个月、6个月和12个月后FACT-G评分均明显高于对照组(P<0.05)。结论应用无痛子宫动脉栓塞术治疗子宫肌瘤能有效改善患者术后下腹胀痛、压迫症状及月经异常,显著降低患者术后肌瘤缩小比例和肌瘤复发率,提高患者预后及生活质量。
Objective To investigate the effect of painless uterine artery embolization on uterine fibroids and the improvement of clinical symptoms. Methods Eighty-two patients with uterine fibroids were selected and randomly divided into control group and observation group according to digital table method, with 41 cases in each group. Patients in the control group were given conventional surgical treatment and patients in the observation group were treated with painless uterine artery embolization. The improvement of clinical symptoms and postoperative fibroid volume were compared between the two groups. Results The postoperative abdominal distention pain, compression symptoms and abnormal menstruation symptoms in the observation group were significantly less than those in the control group. The changes of hemoglobin (Hb) in the observation group before and after treatment were lower than those in the control group (P <0.05) (P <0.05). The FACT-G scores of patients in observation group at 3, 6 and 12 months after operation were significantly higher than those in control group (P <0.05). Conclusion The application of painless uterine artery embolization in the treatment of uterine fibroids can effectively reduce abdominal distension pain, oppression symptoms and abnormal menstruation, reduce the proportion of fibroids and the recurrence rate of fibroids, and improve the prognosis and quality of life.