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目的:探讨子宫动脉栓塞(UAE)治疗子宫黏膜下肌瘤后对月经及妊娠情况的影响。方法:选择唐山市妇幼保健院2005年8月~2010年10月诊断为子宫黏膜下肌瘤并行UAE的患者68例临床资料进行分析。结果:66例患者在术后6~164天肌瘤自阴道排出;经1~3个月后63例患者月经周期及经期恢复正常,贫血得到改善,3例术后月经稀少,2例发生子宫性闭经;术前、术后激素水平测定差异无统计学意义(P<0.05);生育要求组共9例12次妊娠,无生育要求组共12例18次妊娠。结论:子宫黏膜下肌瘤UAE术后对年轻患者月经不会产生严重影响,妊娠的几率不会降低,但可能会增加产科并发症及不良妊娠的几率,对于有强烈生育要求的患者应慎重选择。
Objective: To investigate the effect of uterine arterial embolization (UAE) on menstruation and pregnancy after treatment of uterine submucosal fibroids. Methods: Clinical data of 68 cases of UAE complicated with UAE diagnosed in Tangshan MCH from August 2005 to October 2010 were analyzed. Results: Sixty-six patients had myoma discharged from the vagina 6 to 164 days after operation. Sixty-three patients had menstrual cycle and menstruation returned to normal after 1 to 3 months, and their anemia was improved. Three patients had rare menstruation and two had uterus Amenorrhea; Preoperative and postoperative hormone levels were no significant difference (P <0.05); childbearing requirements group a total of 9 cases of 12 pregnancies, no requirement of childbearing group a total of 12 cases of 18 pregnancies. Conclusion: UAE submucosal fibroids UAE postoperative menstrual young patients will not have a serious impact on the chance of pregnancy will not be reduced, but may increase the incidence of obstetric complications and adverse pregnancy, patients with strong fertility should be carefully selected .