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目的 研究子宫动脉栓塞治疗粘膜下子宫肌瘤的临床效果。资料与方法 采用Seldinger技术经股动脉或左锁骨下动脉穿刺 ,置入 4F或 5FCobra导管选择性插入双侧子宫动脉 ,动脉造影后注入自制真丝线段微粒栓塞双侧子宫动脉 ,阻断肌瘤血供。结果 子宫动脉栓塞后 ,粘膜下肌瘤因缺血发生萎缩、坏死等改变 ,并在治疗后 1～ 3个月内全部自行脱落或部分娩出。肌瘤娩出后 ,无论瘤蒂多粗均可直接切断 ,局部不需缝扎处理 ,无活动性出血发生。子宫形态、月经量在短时间内可恢复正常 ,贫血症状逐步改善 ,临床有效率达到 10 0 %。结论 选择性子宫动脉插管及栓塞方法是治疗粘膜下肌瘤的最佳选择。
Objective To study the clinical effect of uterine arterial embolization on submucosal uterine fibroids. Materials and Methods Seldinger technique was used to puncture the femoral artery or left subclavian artery and placed into 4F or 5FCobra catheters for selective insertion of bilateral uterine arteries. . Results uterine artery embolization, submucosal fibroids due to ischemic atrophy, necrosis and other changes, and within 1 to 3 months after treatment, all on their own off or partially delivered. Fibroids after delivery, no matter how thick the tumor pedicle can be cut directly, without the need for local suture treatment, no active bleeding. Uterine morphology, menstrual flow in a short period of time can return to normal, and gradually improve the symptoms of anemia, the clinical effective rate of 10%. Conclusion The selective uterine arterial cannulation and embolization method is the best choice for the treatment of submucosal fibroids.