子宫动脉栓塞治疗子宫肌瘤的初步临床应用
CHONGQING MEDICAL JOURNAL(2002)
Abstract
目的研究经导管子宫动脉栓塞治疗子宫肌瘤的疗效、副反应、并发症及其防治方法.方法对9例症状性子宫肌瘤患者进行双侧子宫动脉插管,6例用平阳霉素碘油乳剂(Pingyangmycin lipiodol emulsion,PLE)加明胶海绵颗粒栓塞,另3例用聚乙烯醇颗粒(Polyvinyl alcohol particles,PVA)加少许真丝小线段栓塞.结果随访12~16个月,瘤块缩小30%~74%.所有子宫出血病例月经恢复正常,贫血病例,血红蛋白升至正常.瘤块所致压迫症状消失. 结论对希望保留子宫,或不愿手术的子宫肌瘤患者,子宫动脉栓塞是一种有效的治疗方法,可替代手术治疗.
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