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目的 评价平阳霉素碘油乳剂 (PLE)子宫动脉灌注治疗症状性子宫肌瘤的效果及副反应。方法 对2 2例症状性子宫肌瘤患者用PLE行子宫动脉灌注 ,观察术后症状缓解情况、子宫缩小程度和副反应的发生。结果 2 0例完成灌注治疗患者 ,临床症状显著改善 ;16例得到影像学随访者 ,子宫体积平均缩小 5 0 5 %;主要副反应为下腹疼痛 ,严重者与误栓有关。结论 PLE子宫动脉灌注是一种以保留子宫为特征的治疗症状性子宫肌瘤的有效方法。
Objective To evaluate the efficacy and side effects of pingyangmycin lipiodol emulsion (PLE) uterine arterial infusion in the treatment of symptomatic uterine fibroids. Methods Twenty-two patients with symptomatic uterine fibroids were treated with PLE through uterine arterial infusion to observe the postoperative symptom relief, the degree of uterine contractions and the incidence of side effects. Results 20 patients completed perfusion therapy, clinical symptoms were significantly improved; 16 cases of imaging follow-up, the average reduction of the uterus volume of 50%; the main side effects of abdominal pain, severe and mishandling. Conclusion PLE uterine artery infusion is an effective method to treat symptomatic uterine fibroids with the preservation of the uterus.