目的　探讨子宫动脉栓塞术的方法学 ,提高手术成功率。方法　对 10 3例经临床、妇检及影像学明确的子宫肌瘤患者行子宫动脉栓塞术 ,并总结手术操作过程中成功与失败的经验。结果　 10 3例患者 2 0 7条子宫动脉 (1例右侧为双子宫动脉 )插管成功 2 0 6条 ,插管成功率 99.5 % ,单侧穿刺完成双侧子宫动脉插管的 10 1例 ,占 98.1% ,2例行双侧穿刺插管 ,占 1.9% ,栓塞子宫动脉 2 0 4条 ,栓塞成功率 98.6% ,3例行单侧栓塞。操作过程中出现子宫动脉痉挛 82条 ,占 3 9.6% ,其中2条完全闭塞 ,2条出现夹层 ,未发现与返流有关的并发症。结论　熟悉盆腔动脉的解剖特点、规范的操作、选择适宜导管及栓塞物的合理应用对手术成功至关重要。 Objective To explore the methodology of uterine artery embolization and improve the success rate of surgery. Methods A total of 103 patients with uterine fibroids who underwent clinical, gynecological and radiological examinations underwent uterine artery embolization. The experience of successful and unsuccessful surgical procedures was summarized. RESULTS: A total of 206 cases of uterine artery (1 case with double uterine artery on the right side) were successfully performed in 106 patients, and the success rate of intubation was 99.5%. One hundred and one cases of bilateral uterine artery cannulation were performed by unilateral puncture , Accounting for 98.1%. Two cases received bilateral puncture and intubation, accounting for 1.9%. There were 204 cases of uterine artery embolization. The success rate of embolization was 98.6%. Unilateral embolization was performed in 3 cases. 82 cases of uterine arterial spasm occurred during operation, accounting for 39.6% of which 2 were completely occluded and 2 had dissection, and no complication associated with reflux was found. Conclusions Familiarity with the anatomical features of pelvic arteries, standardized operation, and the proper application of suitable catheters and emboli are crucial to the success of the operation.