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目的 总结子宫动脉栓塞治疗子宫肌瘤的操作和临床经验。方法 72例子宫肌瘤患者 ,采用超选择性双侧子宫动脉插管的方法 ,进行造影和栓塞治疗 ,栓塞剂采用聚乙烯醇 (PVA)和明胶海绵 ,栓塞治疗后观察术后反应和症状变化。结果 栓塞治疗成功率 98.6 1% ,造影显示子宫动脉增粗改变及肿瘤染色。肌瘤均有缩小 (10 0 % ) ,直径缩小 1/ 3或以上者达 72 %。结论 子宫动脉栓塞治疗子宫肌瘤是一种成熟的和安全的治疗手段 ,创伤小 ,痛苦少 ,恢复快 ,对于不宜或不愿手术切除者尤为适用
Objective To summarize the operation and clinical experience of treatment of uterine fibroids by uterine artery embolization. Methods 72 patients with uterine fibroids were treated with ultrasound and bilateral uterine arterial cannulation for angiography and embolization. Polyvinyl alcohol (PVA) and gelatin sponge were used as embolic agents. Postoperative embolization and symptoms were observed . Results The success rate of embolization was 98.6%, angiography showed thickening of uterine artery and tumor staining. Fibroids have shrunk (10%), diameter reduced by 1/3 or more, up to 72%. Conclusion Uterine arterial embolization is a mature and safe treatment for uterine fibroids. It is less invasive, less painful and faster to recover. It is especially suitable for patients who are unfavorable or unwilling to be surgically removed