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目的 探讨经导管子宫动脉栓塞术 (transcatheteruterinearteryembolization ,TUAE)的方法和技术问题。方法 对 5 5例子宫肌瘤和其他良性病变行TUAE治疗 ,在透视下用 5F COBRA导管或 /和微导管对双侧子宫动脉超选 ,以聚乙烯醇 (PVA)颗粒进行栓塞 ,栓塞程度为子宫动脉内造影剂出现滞流。结果 手术成功率 98%,平均透视时间和手术时间分别为 (2 4 81± 15 80 )min、(60 2 8± 3 3 3 7)min ,随着例数累积增多 ,手术和透视时间有明显减少的趋势 ;PVA平均用量为(119 81± 41 3 7)mg ;并发症较少、较轻 ,1例在操作过程中出现盆腔血肿 ,2例疼痛时间延长 ,7例粘膜下子宫肌瘤有坏死组织从阴道排出。结论 TUAE术成功率高 ,并发症少 ,是治疗子宫肌瘤和其他良性病变的一种新的方法。
Objective To investigate the methods and technical problems of transcatheterotermatic arterial embolization (TUAE). Methods Fifty-five cases of uterine fibroids and other benign lesions underwent TUAE treatment. The fluoroscopic images of bilateral uterine artery were surgically selected with 5F COBRA catheter and / or microcatheter and embolized with polyvinyl alcohol (PVA) particles. The degree of embolization was Uterine artery contrast agent stagnant. Results The success rate of operation was 98%. The average fluoroscopy time and operation time were (2 4 81 ± 15 80) min and (60 28 ± 3 3 3 7) min, respectively. As the cumulative number of cases increased, the operation and fluoroscopy time was obviously The average dosage of PVA was (119 81 ± 41 3 7) mg; the complications were less and less, one case had pelvic hematoma during operation, two cases had prolonged pain time, and seven cases had submucosal uterine fibroids Necrotic tissue is excreted from the vagina. Conclusion TUAE surgery high success rate, fewer complications, is the treatment of uterine fibroids and other benign lesions of a new method.