[1]艾志刚,张学辉,高淑凤.子宫动脉栓塞治疗子宫黏膜下肌瘤的疗效及安全性[J].介入放射学杂志,2013,(07):549-552.
 AI Zi? gang,ZHANG Xue? hui,GAO Shu? feng..The therapeutic effect and safety of uterine arterial embolization in treating submucous myomas[J].journal interventional radiology,2013,(07):549-552.
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子宫动脉栓塞治疗子宫黏膜下肌瘤的疗效及安全性()

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

卷:
期数:
2013年07期
页码:
549-552
栏目:
肿瘤介入
出版日期:
2013-07-23

文章信息/Info

Title:
The therapeutic effect and safety of uterine arterial embolization in treating submucous myomas
作者:
艾志刚 张学辉 高淑凤
Author(s):
AI Zi?蛳 gang ZHANG Xue?蛳 hui GAO Shu?蛳 feng.
Department of Gynecology, Tangshan Municipal Maternity and Infant Health Institute, Tangshan, Hebei Province 063000, China
关键词:
【关键词】  子宫黏膜下肌瘤 子宫动脉栓塞 治疗效果 安全性
文献标志码:
A
摘要:
【摘要】 目的 探讨子宫动脉栓塞术(uterine arterial embolization,UAE)治疗子宫黏膜下肌瘤的转归、疗效及安全性。方法 2008年1月至2011年10月收治 74例经超声及宫腔镜检查确诊的子宫黏膜下肌瘤患者,行UAE治疗,并观察术后疗效及安全性。结果 74例患者术后随访12 ~ 24个月,月经量均明显减少,贫血改善。70例患者肌瘤自阴道排出,2例回缩至肌层,2例肌瘤明显缩小。术中、术后不同程度疼痛71例,发热18例,分泌物增多50例,肌瘤排出过程中感染6例,经对症治疗后症状均逐渐消失。3例月经稀少,3例发生子宫性闭经,膀胱损伤1例,14 d治愈。术前、术后激素水平测定差异无统计学意义(P﹥0.05)。结论 UAE治疗子宫黏膜下肌瘤疗效显著、微创、安全,但对于有强烈生育要求的患者应慎重选择。

参考文献/References:

[1] 杨越波, 李小毛, 向 阳. 子宫肿瘤[M]. 北京: 人民军医出版社, 2011: 368 ?蛳 369.[2] 陈春林. 子宫动脉栓塞治疗子宫肌瘤的适应证及临床疗效[J]. 实用妇产科杂志, 2007, 23: 714 ?蛳 716.[3] 刘兆玉, 单 明, 卢再鸣, 等. 子宫动脉栓塞治疗子宫肌瘤的生命质量观察[J]. 介入放射学杂志, 2007, 16: 240 ?蛳 242.[4] 成 艳, 尹香花. 宫腔镜子宫黏膜下肌瘤切除术 80 例报告[J]. 腹腔镜外科杂志, 2012, 17: 251 ?蛳 253.[5] 艾志刚, 高淑凤. 介入治疗在妇产科领域的应用[J]. 中国介入影像与治疗学, 2010, 07: 479 ?蛳 482.[6] 艾志刚, 杨彦粉, 管 洁. 子宫动脉栓塞治疗子宫腺肌病80例疗效分析[J]. 介入放射学杂志, 2010, 19: 325 ?蛳 327.[7] Pelage JP, Le Dref O, Beregi JP, et al. Limited uterine artery embolization with tris?蛳 acryl gelatin microspheres for uterine fibroids[J]. J Vasc Interv Radiol, 2003, 14: 15 ?蛳 20.[8] Bradley LD. Uterine fibroid embolization: a viable alternative to hysterectomy[J]. Am J Obstet Gynecol, 2009, 201: 127 ?蛳 135.[9] 陈春林, 徐玉静, 刘 萍, 等. 子宫肌瘤子宫动脉栓塞术后妊娠情况及影响因素分析[J]. 现代妇产科进展, 2012, 21: 369 ?蛳 372.

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备注/Memo

备注/Memo:
(收稿日期:2012-12-05)
更新日期/Last Update: