论文部分内容阅读
目的 探讨应用碘油、PVA、明胶海绵颗粒介入治疗子宫肌瘤的临床效果。方法 对 36例子宫肌瘤进行选择性双侧子宫动脉栓塞灌注碘油、PVA、明胶海绵 ,随访 3～ 2 0个月 ,平均 9个月 ,观察术后症状缓解情况 ,子宫缩小和肌瘤缩小程度。结果 36例右侧股动脉穿刺操作全部成功。子宫肌瘤动脉造影 ,表现为子宫动脉明显增粗、迂曲、分支增多、子宫增大、肿瘤染色灶明显。栓塞后肌瘤染色灶明显消失 ,栓塞剂加用抗生素 ,术后反应 (发热、疼痛、呕吐 )明显减轻 ,子宫肌瘤缩小率 46 .3 %～ 91.7% ,其中肌瘤缩小 5 0 %以上占 86 .6 % ,性激素术前、术后无明显差异。结论 综合应用碘油、PVA、明胶海绵颗粒介入治疗子宫肌瘤是非手术治疗的良好方法。
Objective To investigate the clinical effect of lipiodol, PVA and gelatin sponge in interventional therapy of uterine fibroids. Methods Thirty-six cases of uterine fibroids were treated with selective bilateral uterine artery embolization with lipiodol, PVA and gelatin sponge. The patients were followed up for 3 to 20 months with an average of 9 months. The postoperative symptom relief, uterine contractions and fibroids were observed degree. Results 36 cases of right femoral artery puncture all successful. Uterine fibroids arterial angiography, showed significantly thicker uterine artery, tortuous branches increased, the uterus increased, the tumor staining obvious. Embolization fibroids disappeared after embolization, embolization plus antibiotics, postoperative response (fever, pain, vomiting) was significantly reduced, uterine fibroids shrinkage rate of 46.3% to 91.7%, of which fibroids shrink more than 50% 86.6%, sex hormone before and after surgery no significant difference. Conclusion The comprehensive application of lipiodol, PVA, gelatin sponge particles interventional treatment of uterine fibroids is a non-surgical treatment of a good way.