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目的 探讨子宫动脉栓塞术治疗子宫腺肌病的疗效。方法 采用Seldinger技术,对39例确诊为子宫腺肌病的患者(其中11例为子宫腺肌病合并子宫肌瘤)行双侧子宫动脉栓塞术,术后观察月经量、痛经程度、贫血及子宫、病灶体积的变化情况。结果 治疗后6个月,月经量平均减少56. 2% (Ρ<0. 01);痛经症状明显缓解3例(7. 7% ),消失36例(92. 3% ),有效率为100%;所有贫血病例Hb恢复到正常值(100% );子宫体积平均缩小41. 3% (Ρ<0. 01),病灶明显缩小或消失;超声检查显示子宫肌层及病灶血流信号明显减少。结论 子宫动脉栓塞术治疗子宫腺肌病近期疗效优良,症状改善显著,远期疗效有待观察。
Objective To investigate the efficacy of uterine artery embolization in the treatment of adenomyosis. Methods Seldinger technique was used to study the relationship between menstruation, dysmenorrhea, anemia and uterus in 39 patients diagnosed as adenomyosis (11 of which were adenomyosis with uterine fibroids) underwent bilateral uterine artery embolization. , Changes in lesion volume. Results 6 months after treatment, the average menstrual volume decreased 56.2% (P <0.01); dysmenorrhea symptoms were significantly relieved in 3 cases (7.7%), disappeared in 36 cases (92.3%), the effective rate was 100 %; All cases of anemia Hb returned to normal (100%); uterine volume decreased by an average of 41.3% (P <0.01), the lesion was significantly reduced or disappeared; ultrasound examination of the myometrium and lesion blood flow signal was significantly reduced . Conclusion Uterine arterial embolization in the treatment of adenomyosis has good curative effect and significant improvement of symptoms. Long-term curative effect remains to be seen.