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目的评价选择性子宫动脉栓塞治疗子宫平滑肌瘤的临床意义。方法16例症状性子宫肌瘤患者采用Seldinger方法经双侧子宫动脉插管,注入PVA颗粒行双侧子宫动脉栓塞,术后3、12、24个月观察肌瘤缩小情况及临床症状改善情况。结果子宫动脉栓塞术后肌瘤体积缩小明显(P<0.01),月经恢复正常,贫血及压迫症状明显改善或消失。结论选择性子宫动脉栓塞治疗子宫平滑肌瘤是一种安全、微创、疗效显著的治疗方法。
Objective To evaluate the clinical significance of selective uterine artery embolization in the treatment of uterine leiomyomas. Methods Sixteen patients with symptomatic uterine fibroids were treated with bilateral uterine arterial cannulation by Seldinger’s method. PVA particles were injected into bilateral uterine artery embolization. The reduction of fibroids and the improvement of clinical symptoms were observed at 3, 12 and 24 months after operation. Results After uterine arterial embolization, the volume of fibroids decreased significantly (P <0.01), menstruation returned to normal, anemia and oppression symptoms improved or disappeared. Conclusion Selective uterine artery embolization for the treatment of uterine leiomyomas is a safe, minimally invasive and effective treatment.