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目的观察子宫动脉栓塞术(UAE)治疗子宫腺肌病的临床应用。方法选择20例子宫腺肌病患者,以Seldingers法,在局麻下行股动脉穿刺,置入4F或5F的cobra导管,在X线数字减影血管造影(DSA)下,超选择插管至双侧子宫动脉,用抗生素及混合抗生素的PVA颗粒+新鲜明胶海绵颗粒进行栓塞,术后1、3、6个月随访观察疗效。结果20例患者经介入治疗后临床症状全部缓解,治疗后痛经消失或显著缓解,月经量明显减少,贫血改善,子宫病灶体积明显缩小。结论介入治疗子宫腺肌病微创,安全,副反应少。
Objective To observe the clinical application of uterine artery embolization (UAE) in the treatment of adenomyosis. Methods Totally 20 patients with adenomyosis were treated with Seldingers method. The femoral artery puncture was performed under local anesthesia. Cobra catheters of 4F or 5F were placed. Under X-ray digital subtraction angiography (DSA) Side of the uterine artery, with antibiotics and antibiotics PVA particles + fresh gelatin sponge particles embolization, follow-up 1,3,6 months after the operation to observe the effect. Results The clinical symptoms of 20 patients were completely relieved after interventional treatment. After treatment, dysmenorrhea disappeared or significantly relieved, menstrual flow decreased, anemia improved, and the size of uterine lesion was significantly reduced. Conclusion Interventional treatment of adenomyosis minimally invasive, safe, less side effects.