[1]石红建,黄优华,徐强,等.子宫肌瘤介入治疗中两种不同栓塞剂的对比研究[J].介入放射学杂志,2008,(04):255.
 SHI Hongjian,HUANG Youhua,XU Qiang,et al.Two different embolic agents in the treatment of uterine arterial embolization for symptomatic fibroids[J].journal interventional radiology,2008,(04):255.
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子宫肌瘤介入治疗中两种不同栓塞剂的对比研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年04期
页码:
255
栏目:
血管介入
出版日期:
2008-04-15

文章信息/Info

Title:
Two different embolic agents in the treatment of uterine arterial embolization for symptomatic fibroids
作者:
石红建黄优华徐强沈涛陈静吴小松蒋磊董伟华
213002江苏常州江苏大学附属武进医院放射科(石红建、黄优华、徐强、沈涛、陈静、吴小松、蒋磊);第二军医大学长征医院放射科(董伟华)
Author(s):
SHI Hong-jianHUANG You-huaXU QiangSHEN TaoCHEN JingWU Xiao-songJIANG LeiDONG Wei-hua
Department of Radiology,Affiliated Wujin Hospital,Jiangsu University,Changzhou210023,China
关键词:
子宫肌瘤栓塞治疗葡聚糖微球PVA中图分类号:R737.3
分类号:
R737.3
文献标志码:
A
摘要:
目的比较葡聚糖(Dextran)微球与PVA颗粒两种不同栓塞剂经子宫动脉栓塞(UAE)治疗症状性子宫肌瘤的疗效及安全性。方法40例子宫肌瘤患者,肌瘤直径3~12cm。症状有月经量增多,经期延长,部分患者伴有痛经、下腹坠胀、尿路刺激症状及里急后重等。随机分成两组行UAE术,每组20例。一组用PVA颗粒(355~500μm)作栓塞剂,另一组用葡聚糖微球(Sephadex,G-50,100~300μm)作栓塞剂。术后予止痛、抗感染及补液对症处理。记录患者住院天数、栓塞后综合征(尤其是疼痛反应)、随访资料,并相互比较。结果两组患者住院天数,术后疼痛无明显差异。均无严重并发症。平均随访9个月,随访6个月时PVA组和葡聚糖组子宫体积、肌瘤体积分别缩小53.4%、55%和48.6%、40.9%,两组间差异无统计学意义。结论葡聚糖微球栓塞剂与PVA颗粒栓塞治疗症状性子宫肌瘤在临床疗效及安全性方面无差异。前者价格低廉,制备简单。

参考文献/References:

[1]Morris CS.Update on uterine artery embolization for symptomatic fibroid disease(uterine artery embolization)[J].Abdom Imaging,2007,DOI :10.1007/s00261-007-9187-3.
[2]Hehenkamp WJK,Volkers NA,Birnie E,et al.Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids:results from the randomized EMMY trial[J].Cardiovasc Intervent Radiol,2006,29:179-187.
[3]Dion JE,Rankin RN,Vinuela F,et al.Dextran microsphere embolization experimental and clinical experience with radiologic and pathologic correlation:work in progress[J].Radiology,1986,160:717-721.
[4]石红建,王杰,施海彬,等.葡聚糖微球经微导管栓塞术中应用参数的实验研究[J].南通医学院学报,2003,23:6-8.
[5]Barr JD,Lernley TJ ,Petrochko CN,et al.Polyvinyl alcohol foam particle sizes and concentrations injectable through microcatheters[J].JVIR,1998,9:113-118.
[6]Golzarian J,Lang E,Hovsepian D,et al.High rate of partial devascularization and clinical failure after uterine artery embolization for fibroids with spherical polyvinyl alcohol[J].Cardiovasc Intervent Radiol,2006,29:1-3.
[7]Katsumori T,Kasahara T,Kin Y,et al.Magnetic resonance angiography of uterine artery:changes with embolization using gelatin sponge particles alone for fibroids[J].Cardiovasc Intervent Radiol,2007,30:398-404.
[8]王杰,张国英,施海彬,等.葡聚糖微球栓塞治疗子宫肌瘤疗效的初步观察[J].介入放射学杂志.2003,12:417-419.

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备注/Memo

备注/Memo:
收稿日期:2007-11-08
更新日期/Last Update: 2008-04-15