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目的 :分析子宫动脉栓塞治疗子宫肌瘤的有效性和安全性。材料和方法 :51例子宫肌瘤行子宫动脉栓塞治疗 ,分别于栓塞后1、3、6、12个月行B超随访肿瘤体积变化。结果 :所有病例均无子宫坏死和严重并发症。栓塞后6个月 ,肿瘤体积缩小大于50 %、20 %～50 %和小于20 %者分别为41例(占80.4 %)、9例(17.6 %)和1例(占2 %) ,其中2例肿瘤全部消失。所有病例临床症状减轻或消失 ,4例自然受孕。结论 :子宫动脉栓塞治疗子宫肌瘤具有肯定的疗效 ,长期疗效和子宫肌瘤复发率如何尚需进一步探讨。
Objective: To analyze the efficacy and safety of uterine artery embolization in treating uterine fibroids. MATERIALS AND METHODS: Fifty-one patients with uterine fibroids underwent uterine artery embolization, and the changes of tumor volume were observed with B-mode ultrasound at 1, 3, 6 and 12 months after embolization respectively. Results: No cases of uterine necrosis and serious complications were found in all cases. At 6 months after embolization, the tumor volume was reduced by more than 50%, while in 20% -50% and less than 20%, 41 (80.4%), 9 (17.6%) and 1 (2% Cases of cancer disappeared. All cases of clinical symptoms reduced or disappeared, 4 cases of natural pregnancy. Conclusion: Uterine arterial embolization has a definite curative effect on uterine fibroids. Long-term curative effect and recurrence rate of uterine fibroids need to be further explored.