[1]谭国胜,郭文波,范惠双,等.子宫动脉栓塞治疗子宫肌瘤的动态影像学监测及其机制研究[J].介入放射学杂志,2010,(02):110.
　TAN Guosheng,GUO Wenbo,FAN Huishuang,et al.Uterine arterial embolization for the treatment of uterine leiomyomas：its dynamic imaging monitoring and therapeutic mechanism[J].journal interventional radiology,2010,(02):110.
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子宫动脉栓塞治疗子宫肌瘤的动态影像学监测及其机制研究()

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

卷:
期数:
2010年02期
页码:
110
栏目:
肿瘤介入
出版日期:
2010-02-15

文章信息/Info

Title:
Uterine arterial embolization for the treatment of uterine leiomyomas：its dynamic imaging monitoring and therapeutic mechanism
作者:
谭国胜; 郭文波; 范惠双; 等
５１００８０广州中山大学附属第一医院介入放射科
Author(s):
TAN Guo－sheng; GUO Wen－bo; FAN Hui－shuang; CHEN Wei; YANG Jian－yong
the First Affiliated Hospital of Sun Yatsen university，Guangzhou５１００８０，China
关键词:
栓塞; 平滑肌瘤; 子宫; 影像学; 机制
分类号:
R７３７.３３
文献标志码:
A
摘要:
目的观察子宫动脉栓塞治疗子宫肌瘤术前、术后影像学动态变化，探讨其治疗机制。方法通过对４５例子宫肌瘤患者行子宫动脉栓塞治疗，观察栓塞前后行盆腔彩色多普勒超声（彩超）、MR平扫加增强，以及栓塞后CT平扫检查，了解子宫及肌瘤影像学征象的动态变化。追踪时间３～１６个月，平均（１０．０±３．５）个月。结果术前４１例彩超显示肌瘤血流丰富，术后第１天肌瘤和正常肌层血流消失，第７天肌瘤血流仍消失但正常子宫肌层血流开始出现；术后１、３、１２个月正常子宫肌层血流恢复正常而肌瘤内仍无血流。４例术后第７天开始肌瘤内有血流信号，至术后１２个月肌瘤内仍有血供。４５例CT平扫发现术后当天肌瘤和正常肌层均有碘油沉积，以肌瘤明显，术后１、３、１２个月正常子宫肌层碘油逐渐流失，而肌瘤内仍有碘油沉积。４５例术前MRI 肌瘤及子宫肌层均有明显强化，术后３个月MRI 复查３９例肌层有强化而肌瘤无强化改变；另６例术后肌瘤仍有不同程度强化。２例患者术后肌瘤脱落，病理证实为坏死组织。术前、术后肌瘤体积变化的监测，MRI 与彩超测量结果的比较差异无统计学意义（P＞０．０５）。结论子宫肌瘤血管床出现选择性栓塞导致肌瘤坏死，是子宫动脉栓塞治疗子宫肌瘤的机制。其动态影像学监测随访，以彩超为首选手段。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００９－１０－０９
更新日期/Last Update: 2010-02-15