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目的探讨X射线引导下介入治疗子宫肌瘤的临床疗效,评价其临床应用效果,为今后临床治疗提供参考和借鉴。方法本研究回顾性分析我院2010年3月至2013年3月期间收治的28例子宫肌瘤患者的临床资料,所以患者均行X射线引导下介入治疗,观察并记录患者治疗前后子宫及肌瘤体积、月经、激素水平、术后并发症等情况。结果患者术后每隔3个月复查1次,发现患者术后子宫体积、肌瘤体积均明显小于术前(P<0.05),差异有统计学意义;术后月经周期、月经量、月经时间均明显优于术前(P<0.05),差异有统计学意义;术后LH、E2、FSH水平较术前均无明显变化(P>0.05),差异无统计学意义;术后3~5 d内出现短暂闭经、呕吐、血尿各1例,经对症治疗1周后,上述症状均消失,未出现盆腔感染等严重并发症。结论 X射线引导下介入治疗子宫肌瘤能有效地改善患者的临床症状,具创伤小、术后恢复快、并发症少、疗效显著且安全性高等优点,值得在临床实践中广泛的应用和推广。
Objective To investigate the clinical efficacy of interventional therapy for uterine fibroids under the guidance of X-ray and to evaluate its clinical application effect, so as to provide reference and reference for clinical treatment in the future. Methods The clinical data of 28 patients with uterine myoma treated in our hospital from March 2010 to March 2013 were retrospectively analyzed. All patients underwent X-ray-guided interventional therapy. The uterus and myometrium were observed and recorded before and after treatment Tumor volume, menstruation, hormone levels, postoperative complications and so on. Results The patients were reviewed once every 3 months and found that the postoperative uterine volume and fibroids volume were significantly lower than those before operation (P <0.05), and the difference was statistically significant. The postoperative menstrual cycle, menstrual flow, menstrual time (P <0.05), and the difference was statistically significant. The levels of LH, E2 and FSH after operation were not significantly different from those before operation (P> 0.05), and there was no significant difference between them d appeared within a short period of amenorrhea, vomiting, hematuria in 1 case, after symptomatic treatment for 1 week, the symptoms disappeared, no serious complications such as pelvic infection. Conclusion X-ray guided interventional therapy of uterine fibroids can effectively improve the clinical symptoms of patients, with less trauma, faster recovery, fewer complications, significant efficacy and high safety, it is worth in clinical practice widely used and popularized .