[1]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,(01):52.
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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()

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

卷:
期数:
2010年01期
页码:
52
栏目:
临床研究
出版日期:
2010-01-15

文章信息/Info

Title:
Embolization therapy of uterine fibroids by using pingyangmycin lipiodol emulsion or polyvinyl alcohol particles:a clinical comparative study
作者:
张大忠殷建林刘海日张富强黄海顾友梅
225300江苏省泰州市人民医院介入放射科
Author(s):
ZHANG Da-zhongYIN Jian-linLIU Hai-riZHANG Fu-qiangHUANG HaiGU You-mei.
Taizhou People 's Hospital,Jiangsu Province225300,China
关键词:
子宫肌瘤子宫动脉栓塞
分类号:
R737.33
文献标志码:
B
摘要:
目的评价碘油平阳霉素乳剂和聚乙烯醇颗粒(PVA)栓塞子宫肌瘤的疗效及安全性。方法回顾分析73例经碘油平阳霉素乳剂或PVA治疗的子宫肌瘤患者的资料,分成两组进行比较,其中A组(29例)采用碘油平阳霉素乳剂作为栓塞剂,B组(44例)采用PVA(直径300~700μm)作为栓塞剂,观察手术并发症,比较术前及术后6个月的子宫体积、肌瘤体积及性激素变化情况。结果A、B两组插管栓塞成功率100%,术后子宫及肌瘤体积均明显缩小,两组比较差异无统计学意义(P>0.05);两组患者术后症状明显改善,栓塞前后性激素无明显变化,两组比较差异无统计学意义(P>0.05);无严重并发症。结论碘油平阳霉素乳剂与PVA是治疗子宫肌瘤的安全、有效的栓塞材料,但平阳霉素是化疗药物,为避免近、远期的潜在并发症,使用PVA作为栓塞剂更安全。

参考文献/References:

[1]Ravina JH,Herbreteau D,Cirau-Vigneon N,et al.Arterial embolisation to treat uterine myomata[J].Lancet,1995,346:671.
[2]Worthington-Kirsch RL,Popky GL,Hutchins FL Jr,et al.Uterine arterial embolization for the management of leiomyomas:quality-of-life assessment and clinical response[J].Uter arter Radiol,1998,208:625-629.
[3]韩冰,向阳.子宫动脉栓塞治疗子宫肌瘤和肌腺症的临床研究进展[J].生殖医学杂志,2008,17:310-312.
[4]雷呈志,向阳.血管性介入放射造影在妇科领域的应用[J].中国实用妇科与产科杂志,2008,24:230-232.
[5]杨彦粉,艾志刚,佟小强.子宫动脉栓塞术治疗子宫肌瘤的研究进展[J].当代医学(中国介入放射学),2008,2:173-175.
[6]方向军,伍中华,黄余良,等.子宫动脉栓塞治疗子宫肌瘤和子宫腺肌症的疗效[J].医学临床研究,2006,23:1621-1624.
[7]崔进国,袁涛,梁志会,等.子宫动脉栓塞治疗子宫肌瘤的疗效评价[J].介入放射学杂志,2005,14:639-641.
[8]李广太,温廷如.子宫动脉栓塞术治疗子宫肌瘤有效性和安全性的荟萃分析[J].中华妇产科杂志,2006,41:697-670

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备注/Memo

备注/Memo:
收稿日期:2009-06-10
更新日期/Last Update: 2010-01-15