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目的:观察中药地榆粉介入栓塞治疗子宫肌瘤的临床疗效。方法:对60例患者行超选择性子宫动脉插管造影和地榆粉栓塞治疗,观察介入栓塞治疗效果及术后3～24月随访患者症状改变情况。结果:子宫动脉造影显示子宫肌瘤为富血管性肿瘤,主要以一侧动脉供血,约占76.67%;两侧动脉同时供血者占18.33%;卵巢动脉参与供血者为5.00%。随访患者中,治愈7例(11.67%),显效39例(65.00%),有效11例(18.33%),无效3例(5.00%);37例随访24月,患者子宫、肌瘤体积治疗后均显著缩小,治疗前后比较,差异均有显著性意义(P<0.05)。结论:地榆粉子宫动脉介入栓塞治疗子宫肌瘤创伤小、痛苦少,行之有效。
Objective: To observe the clinical efficacy of Chinese medicinal herb Ulmus powder in the treatment of uterine fibroids. Methods: Sixty patients underwent superselective uterine arterial cannulation angiography and Burmwood powder embolization. The therapeutic effect of interventional embolization and the change of symptoms in patients who were followed up from 3 to 24 months after operation were observed. Results: Uterine artery angiography showed that uterine leiomyoma was a kind of vascular tumor. The main artery was blood supply of one side, accounting for 76.67%; 18.33% of the two side arteries supplying blood at the same time; 5.00% of the ovarian artery involved in supplying blood. Among the patients who were followed up, 7 cases were cured (11.67%), 39 cases (65.00%) were markedly effective, 11 cases (18.33%) were effective and 3 cases (5.00% Were significantly reduced, before and after treatment, the differences were significant (P <0.05). Conclusion: Ulmus uterus arterial embolization treatment of uterine fibroids trauma, pain less effective.