[1]段峰,刘凤永,王茂强.卵巢动脉造影及栓塞在妇产科疾病介入治疗中的意义[J].介入放射学杂志,2007,(06):427.
 DUAN Feng,LIU Feng-yong,WANG Mao-qiang.The clinical significances of selective ovarian arterial angiography and embolization in the obstetrics and gynecology[J].journal interventional radiology,2007,(06):427.
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卵巢动脉造影及栓塞在妇产科疾病介入治疗中的意义()

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

卷:
期数:
2007年06期
页码:
427
栏目:
综述
出版日期:
2007-06-15

文章信息/Info

Title:
The clinical significances of selective ovarian arterial angiography and embolization in the obstetrics and gynecology
作者:
段峰刘凤永王茂强
100853北京解放军总医院介入医学科
Author(s):
DUAN FengLIU Feng-yongWANG Mao-qiang.
Department of Interventional Radiology,the General Hospital of Chinese People's Liberation Army,Beijing100853,China
关键词:
卵巢动脉动脉造影术子宫肌瘤产后出血治疗性栓塞
分类号:
R737.3
文献标志码:
B
摘要:
经导管作髂内动脉栓塞术是目前治疗盆腔肿瘤所致阴道大出血和产科大出血的首选方法,近年选择性子宫动脉栓塞术(UAE)已成为替代外科手术治疗子宫肌瘤的有效方法。文献报道,无论是治疗妇产科大出血还是栓塞子宫肌瘤,髂内动脉-子宫动脉栓塞术有一定失败率(4%~19%),后者与盆腔内存在丰富的侧支循环有重要关系,其中卵巢动脉(OA)是主要的侧支血管之一。另外,OA与子宫动脉之间的吻合支是UAE术中误栓塞卵巢、导致闭经的原因。OVA开口变异发生率为2%~10%。正常OA直径<1.1mm,多不为腹主动脉造影所显示,但当存在子宫或盆腔病变、对血液供应需求增加时,OA可增粗。OA参与盆腔疾病供血的高发因素有子宫底部巨大肌瘤、有盆腔手术史、曾做过子宫动脉栓塞术、一侧或两侧子宫动脉发育不良。当存在前述情况时,将猪尾导管插至肾动脉水平做腹主动脉造影和选择性OA插管造影是必要的。一旦确认有OA参与病变供血,应考虑作超选择栓塞术,一般认为用直径>500μm栓塞剂是安全的。做OA近侧栓塞,尤其是联合两侧UAE,可能导致医源性卵巢功能不全。对于绝经前患者、又确有必要做OA栓塞时,应尽可能做单侧、接近病变处栓塞,术前应签署知情同意书。

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备注/Memo

备注/Memo:
收稿日期:2006-09-11
更新日期/Last Update: 2007-06-15