【摘要】 目的 观察经双侧子宫动脉栓塞治疗子宫肌瘤的临床疗效。方法 选择子宫肌瘤患者49例，采用Seldinger技术行双侧子宫动脉DSA造影插管。确认超选到子宫动脉后，注入PVA栓塞颗粒，阻断肌瘤血液供应，术后3个月、6个月观察疗效。结果 子宫动脉栓塞术后，肌瘤及子宫体积缩小约45%～55%，月经恢复正常，贫血改善，其相伴的压迫症状减轻或消失。结论 子宫动脉栓塞术治疗子宫肌瘤，方法简单，创伤小，且能完整保留子宫功能，近期疗效明显，是子宫肌瘤新的微创治疗方法。

    【关键词】 子宫肌瘤；子宫动脉；栓塞术

    Clinical analysis on uterine arterial embolization therapy for 49 cases with hysteromyoma

    LI Shao-bo，ZHOU Shun-ke.

    Department of Radiology， the First Affiliated Hospital of Hunan University of Traditional Chinese Medcine，Changsha 410007，China

    【Abstract】 Objective To observe the theraputic efficacy of uterine artery embolization (UAE) on uterine fibroids.Methods 49 cases with uterine fibroid were treated with UAE by using the technology of Seldinger.The changes of clinical symptoms and hysteromyoma size were observed at the points of 3 and 6 months after operation.Results After UAE operation，the blood supply of uterine fibroid could be occluded and the pathological vessel signs of myoma disappeared.With a mean follow-up of 3 and 6 months ......