子宫动脉栓塞术治疗子宫腺肌病51例临床分析

摘要

目的：探讨子宫动脉栓塞术在子宫腺肌病治疗中的作用，为临床医师处理子宫腺肌病提供依据。方法：回顾性分析2006年6月-2012年4月采用子宫动脉栓塞术治疗的51例子宫腺肌病患者资料，患者平均（36.8±12.5）岁，痛经48例（94.1%），月经量增多合并贫血3例（5.9%），采用右股动脉处插入coriplors导管由髂内动脉到达子宫动脉处，灌注博来霉素15 mg封闭内膜病灶的血管。海藻酸钠微球加盐水栓塞病灶处的细小血管。明胶海绵栓塞子宫动脉主干。随访4个月～6年。结果：痛经缓解率66.67%（32/48）。4例患者术后再次妊娠。保留子宫的患者中，23例复查时子宫有不同程度的缩小，10例子宫大小无明显变化。结论：子宫动脉栓塞术为治疗子宫腺肌病的有效方法，可明显减轻患者痛苦，缓解临床症状及体征，为育龄女性日后妊娠提供机会。%Objective:To investigate the effect of uterine artery embolization in the treatment of uterine adenomyosis , provide the basis for clinical treatment of adenomyosis of uterus. Methods:A retrospective analysis of 51 patients from June 2006 to April 2012 by uterine artery embolization for treatment of uterine adenomyosis,mean age was(36.8±12.5) years old,51 patients were followed up for 4 months to 6 years. Results:The pain relief rate was 66.67% (32/48). 4 cases were pregnancy patients. Preservation of the uterus of patients ,23 cases of uterine have varying degrees of narrowing ,10 cases of uterine size had no significant change. Conclusions:Uterine artery embolization is a new effective method in treatment of adenomyosis , which can significantly relieve the pain of patients ,relieve the clinical symptoms and signs ,to provide opportunities for women of reproductive age of pregnancy.