[1]王省白,沈育艳,陆黎明,等.子宫动脉栓塞治疗子宫肌瘤45例[J].介入放射学杂志,2010,(04):322.
 WANG Xinbai,SHEN Yuyan,LU Liming,et al.Uterine arterial embolization for hysteromyomas:report of 45cases[J].journal interventional radiology,2010,(04):322.
点击复制

子宫动脉栓塞治疗子宫肌瘤45例()

PDF下载中关闭

分享到:

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

卷:
期数:
2010年04期
页码:
322
栏目:
临床研究
出版日期:
2010-04-15

文章信息/Info

Title:
Uterine arterial embolization for hysteromyomas:report of 45cases
作者:
王省白沈育艳陆黎明
314001浙江嘉兴浙江省中医药大学附属嘉兴市中医医院
Author(s):
WANG Xin-baiSHEN Yu-yanLU Li-mingWAN Wei-rongLU Jin-xiaMA Rui-fen.
Affiliated Jiaxing Hospital of Traditional Chinese Medicine,Zhejiang Provincial University of TCM
关键词:
子宫动脉栓塞治疗性子宫肌瘤
分类号:
R737.33
摘要:
目的评价经导管子宫动脉栓塞(UAE)对子宫肌瘤的疗效及影响疗效的有关因素。方法对45例子宫肌瘤患者进行超选择性子宫动脉栓塞,其中肌瘤多发36例,单发9例;肌瘤位于肌层41例(其中5例伴有子宫腺肌症,2例伴有黏膜下肌瘤);位于黏膜下4例。子宫肌瘤的诊断经影像学检查和妇科检查确定。术后超声、化验检查观察瘤体及激素水平和血红蛋白变化。结果45例患者91支子宫动脉(1例左侧为双子宫动脉)插管成功87支,成功率95.6%。45例均获随访,随访时间6~36个月。术后6个月肿瘤体积平均缩小69.3%,3例子宫肌瘤消失。贫血病例,血红蛋白升至正常。主要不良反应为下腹部疼痛和低热。结论子宫动脉栓塞是治疗子宫肌瘤的安全有效的方法。

参考文献/References:

[1]Racina JH,Herbreteau D,Cirau-Vigneron N,et al.Arterial embolization to treat uterine myomata[J].Lancet,1995,346:671-672.
[2]Racina JH,Bouret JM,Giraru-Vigneron N,et al.Interest of partculate arterial embolization in the treatment of some uterine myomal[J].Bull Acad Hatle MED,1997,181:293.
[3]陈平有,周选民,徐霖,等.经导管子宫动脉栓塞术治疗子宫肌瘤的临床应用[J].实用放射学杂志,2008,4:537-539.
[4]花村,周广德,滕君,等.碘油平阳霉素乳剂联合利多卡因浸泡明胶海绵栓塞治疗子宫肌瘤的临床观察[J].介入放射学杂志,2008,17:215-217.
[5]Bradley EA,Reidy JF,Forman RG,et al.Transcatheter uterine artery embolization to treat large uterine fibroids[J].Br J Obstet Gynaecol,1998,105:235-240.

相似文献/References:

[1]柴建中 刘向军 于凤英 朱俊丽 纪柯平.白芨加明胶海绵栓塞治疗子宫肌瘤的临床应用[J].介入放射学杂志,2001,(06):336.
[2]徐伟,王宏辉,马东营,等.PVA颗粒与中药白芨栓塞犬肾动脉的对比研究[J].介入放射学杂志,2008,(06):424.
 XU Wei,WANG Honghui,MA Dongying,et al.Comparative study of renal arterial embolization with PVA particals and Bletilla Striata of Chinese traditional medicine[J].journal interventional radiology,2008,(04):424.
[3]陈家焱,姬广翠,钱建华,等.原发性肝癌自发性破裂出血的介入治疗[J].介入放射学杂志,2008,(06):436.
 CHEN Jiayan,JI Guangcui,QIAN Jianhua,et al.Interventional treatment of primary liver cancer with spontaneous bleeding(3cases report)[J].journal interventional radiology,2008,(04):436.
[4]程光森,彭秀斌,陈加源,等.不同栓塞材料在急性内脏出血介入栓塞中的应用[J].介入放射学杂志,2008,(07):475.
 CHENG Guangsen,PENG Xiubin,CHEN Jiayuan,et al.The different embolic agents of intervention therapy for emergency splanchnic hemorrhage[J].journal interventional radiology,2008,(04):475.
[5]周俊,胡庭杨,袁建华,等.先天性肾动静脉畸形的栓塞治疗[J].介入放射学杂志,2008,(07):481.
 ZHOU Jun,HU Tingyang,YUAN Jianhua,et al.Transcatheter arterial embolization for congenital renal arteriovenous malformation[J].journal interventional radiology,2008,(04):481.
[6]苏秀琴,于世平,张进,等.Dieulafoy病致消化道大出血的介入治疗[J].介入放射学杂志,2008,(07):478.
 SU Xiuqin,YU Shiping,ZHANG Jin,et al.Interventional therapy for gastrointestinal hemorrhage induced by Dieulafoy disease[J].journal interventional radiology,2008,(04):478.
[7]沈杰,王成刚,马爱英,等.内支架置入对不同类型下腔静脉恶性梗阻的临床价值[J].介入放射学杂志,2008,(07):493.
 SHEN Jie,WANG Chenggang,MA Aiying,et al.Clinical evaluation of stenting for different types of malignant inferior vena cava obstruction[J].journal interventional radiology,2008,(04):493.
[8]任建庄,梁惠民,吴汉平,等.肾出血的血管造影诊断及经导管栓塞治疗[J].介入放射学杂志,2008,(09):630.
 REN Jianzhuang,LIANG Huimin,WU Hanpin,et al.Diagnosis and treatment of renal hemorrhage via angiography and transcatheter embolization[J].journal interventional radiology,2008,(04):630.
[9]张茵,周兵,许秀芳,等.肝动脉化疗栓塞治疗原发性肝癌存活20年一例[J].介入放射学杂志,2008,(09):684.
 ZHANG Yin,ZHOU Bing,XU Xiufang,et al.Survival more than20years after transarterial chemical embolization for hepatocellular carcinoma:A case report[J].journal interventional radiology,2008,(04):684.
[10]王健,佟小强,杨敏,等.活检术后肾出血的超选择性动脉栓塞治疗[J].介入放射学杂志,2008,(10):703.
 WANG Jian,TONG Xiaoqiang,YANG Min,et al.Superselective artery embolization for renal hemorrhage after biopsy[J].journal interventional radiology,2008,(04):703.
[11]吴卫平,李选.急诊双侧子宫动脉栓塞治疗难治性产后大出血[J].介入放射学杂志,2006,(04):243.
 WU Wei-ping,LI Xuan.Bilateral uterine arterial embolization for postpartum refractory massive hemorrhage[J].journal interventional radiology,2006,(04):243.
[12]周恒根 韩洪林 郭依龙 刘元山.子宫动脉栓塞术治疗子宫肌瘤的临床应用[J].介入放射学杂志,2006,(05):305.
 ZHOU Heng-gen,HAN Hong-lin,GUO Yi-long,et al.Clinical application of arterial embolization for the treatment of uterine leiomyoma[J].journal interventional radiology,2006,(04):305.
[13]宋莉,佟小强,王健,等.超选择子宫动脉栓塞控制及预防产科出血[J].介入放射学杂志,2008,(10):706.
 SONG Li,TONG Xiaoqiang,WANG Jian,et al.Superselective uterine artery embolization for the control and prevention of obstetric hemorrhage[J].journal interventional radiology,2008,(04):706.
[14]张大忠,殷建林,刘海日,等.碘油平阳霉素乳剂和聚乙烯醇颗粒栓塞子宫肌瘤的临床研究[J].介入放射学杂志,2010,(01):52.
 ZHANG Dazhong,YIN Jianlin,LIU Hairi,et al.Embolization therapy of uterine fibroids by using pingyangmycin lipiodol emulsion or polyvinyl alcohol particles:a clinical comparative study[J].journal interventional radiology,2010,(04):52.
[15]徐文健,倪才方,王芸,等.子宫动脉灌注栓塞术在胎盘植入治疗中的应用[J].介入放射学杂志,2010,(12):982.
 XU Wen-jian,NI Cai-fang,WANG Yun,et al.The clinical application of uterine arterial infusion and embolization in treating placenta percreta[J].journal interventional radiology,2010,(04):982.

备注/Memo

备注/Memo:
收稿日期:2009-12-02
更新日期/Last Update: 2010-04-15