曹满瑞 窦永充 房在良 齐英杰 徐宏里 马利国 李光展 胡国栋 曹满瑞(518001 深圳市人民医院放射科)；窦永充(518001 深圳市人民医院放射科)；房在良(518001 深圳市人民医院放射科)；齐英杰(518001 深圳市人民医院放射科)；徐宏里(深圳市人民医院妇产科) 临床放射学杂志 2000 0 19 6


    关键词：放射学，介入；子宫肌瘤；栓塞 期刊 lcfsxzz 0 介入放射学 fur -->


    

【摘要】 目的 对子宫动脉栓塞治疗子宫肌瘤进行研究，了解此方法疗效、副反应及并发症，探索子宫肌瘤新的治疗方法。 材料与方法 对20例以子宫出血为主要症状的子宫肌瘤患者进行双侧子宫动脉栓塞，随访复查瘤体缩小及出血症状、贫血改善。 结果 随访12～24个月，瘤块缩小37.3%～83.2%。所有子宫出血病例，月经恢复正常；贫血病例，血红蛋白升至正常范围。无严重并发症发生。 结论 对年轻想保留子宫，或者不愿手术的子宫肌瘤患者，该方法是良好的选择。

Uterine ArterialEmbolization Therapy for Hysteromyoma

CAO Manrui，DOUYongchong，FANG Zailiang

    (Department of Radiology, Shenzhen Municipal People's Hospital, Shenzhen, GuangdongProvince 518001, P.R.China)

【Abstract】 Objective Toassess the curative effects, side effects and complications of arterial embolization forthe treatment of uterine leiomyomas. Materials and Methods Bilateral uterine arterialembolization was performed in 20 cases of uterine leiomyomas with uterine hemorrhage asthe main complain. Improvement of uterine hemorrhage, anemia and the size of leiomyomaswas observed during follow-up checkups. Results The patients were followed for 12～24months, and tumor size was decreased by 37.3%～83.2%. Menses returned to regular cycle inall patients. In patients with anemia the hemoglobin concentration rose up to normallevel. No serious complications occurred. Conclusion Uterine arterial embolization isan effective therapy of first choice for patients with uterine leiomyomas, especially forthose who hope to keep their uterus and for those who don't like to receive a surgery.

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