【摘要】 目的 评价聚乙烯醇微粒(PVA)子宫动脉栓塞治疗症状性子宫肌瘤的初步临床疗效并探讨其相关技术。 方法 对60例症状性子宫肌瘤患者进行超选择性子宫动脉栓塞，随访3～9个月(平均6个月)，观察术后症状缓解情况及子宫肌瘤缩小程度。 结果 子宫肌瘤的动脉造影表现为子宫动脉明显增粗，分支数量增多、迂曲，子宫体增大、染色明显且排空延迟等。59例完整随访者术后6个月肌瘤体积缩小76%，5例肌瘤消失，临床症状均明显改善，且未见明显副作用。 结论 PVA颗粒选择性子宫动脉栓塞为非手术治疗症状性子宫肌瘤的较好疗法。

    关键词 子宫肌瘤 子宫动脉 栓塞

    Preliminary evaluation of PVA for treating uterine fibroids

    Qu Fanyong，Li Wangli，Quan Ren'gui，et al.

    Department of Radiology，Muping Hospital，Yantai264100.

    【Abstract】 Objective To evaluate the effectiveness of uterine arterial embolization with polyvinyl alcohol(PVA)articles.Methods Uterine arterial embolization with PVA was performed in60patients.The improvement of symptoms and uterine neoplasms size changes was followed up in3-12months(mean6months)after the procedure.Results Su-perselective angiography showed enlargement of uterine artery，accompanied by tortuous branches.The uterus itself was significantly stained and emptied slowly.6months after the procedure，a mean76%reduction of uterine neoplasms volume was obtained.The clinical symptoms was relieved significantly and no main side effects.Conclusion Uterine arterial em-bolization with PVA is a good non—surgical therapy in symptomatic uterine fibroids with mild side effects. ......