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目的:研究与评价应用明胶海绵栓塞子宫动脉治疗有症状性子宫肌瘤的安全性和临床疗效。方法:在6年内对97例有症状性子宫肌瘤患者应用明胶海绵进行子宫动脉栓塞。根据随访结果评估临床疗效。结果:手术后4个月在随访到的73例患者中有72例(98.6%)患者与肌瘤体积相关症状(如月经量增多等)得到较显著改善,且亦无明显并发症发生。彩色多普勒显示患者自身最大子宫肌瘤体积平均较术前缩小43%。结论:应用明胶海绵栓塞子宫动脉治疗有症状性子宫肌瘤是安全可靠的治疗措施。
Objective: To study and evaluate the safety and clinical efficacy of gelatin sponge embolization of uterine artery in the treatment of symptomatic uterine fibroids. Methods: Ninety-seven patients with symptomatic uterine fibroids were treated with gelatin sponge for embolization of uterine artery within 6 years. According to follow-up results to assess the clinical efficacy. RESULTS: Of the 73 patients followed up for 4 months, 72 (98.6%) had significant improvement in volume related symptoms (such as increased menstrual flow) and no significant complications. Color Doppler showed that patients with their own largest uterine fibroids volume was reduced by 43% on average. Conclusion: Gelatin sponge embolization of uterine artery for the treatment of symptomatic uterine fibroids is a safe and reliable treatment.