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目的 探讨子宫动脉栓塞治疗子宫肌瘤的副反应和并发症及处理措施。方法 6 9例子宫肌瘤患者接受 PVA微粒子宫动脉栓塞治疗。结果 全部患者临床症状均有改善 ,术后随访 3～ 1 2个月 B超或 MR复查 ,肌瘤缩小率 5 8%～ 1 0 0 %。子宫动脉栓塞的副反应有下腹及腰部酸痛、会阴部烧灼痛、低热、恶心、呕吐、尿频、尿急、尿痛等。并发症包括阴道排出坏死肌瘤组织 (9例 ) ,急性盆腔感染 (1例 ) ,尿潴留 (5例 )。以上副反应和并发症经对症处理及特殊治疗后均逐渐缓解。结论 子宫动脉栓塞治疗子宫肌瘤的副反应大多能自行缓解 ,其并发症经特殊治疗后无任何后遗症
Objective To investigate the side effects and complications of uterine artery embolization in treatment of uterine fibroids. Methods Sixty-nine patients with uterine leiomyoma were treated with PVA particles uterine artery embolization. Results All the patients had clinical symptoms improved. The patients were followed up for 3 ~ 12 months for B-ultrasound or MR. The reduction rate of fibroids was 58% ~ 100%. Side effects of uterine artery embolism have lower abdomen and lower back pain, perineal burning pain, fever, nausea, vomiting, frequent urination, urgency, dysuria and so on. Complications included vaginal discharge of necrotic fibroids (n = 9), acute pelvic infection (n = 1) and urinary retention (n = 5). More side effects and complications after symptomatic treatment and special treatment were gradually eased. Conclusion Most of the side effects of uterine artery embolization in treating uterine fibroids can be relieved by their own, and the complications are specially treated without any sequelae