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目的:对比明胶海绵微粒和聚乙烯醇(PVA)栓塞子宫肌瘤疗效差异。方法:对33例子宫肌瘤行子宫动脉栓塞术(UAE),其中15例以明胶海绵微粒为栓塞剂(A组),18例以PVA为栓塞剂(B组)。结果:A组较B组术后疼痛轻微,术后1个月肌瘤体积缩小B组较A组明显,但缩小<20%,无临床意义。结论:PVA和明胶海绵微粒都是UAE治疗子宫肌瘤的有效栓塞剂,明胶海绵微粒栓塞后引起的副反应及并发症轻微,长期疗效需进一步观察。
Objective: To compare the efficacy of gelatin sponge particles and polyvinyl alcohol (PVA) embolization uterine fibroids. Methods: Uterine arterial embolization (UAE) was performed on 33 cases of uterine fibroids. Among them, 15 cases were treated with gelatin sponge particles as embolization agent (group A) and 18 cases were treated with PVA as embolization agent (group B). Results: The postoperative pain in group A was less than that in group B, and the volume of fibroids was reduced in group A at one month after operation. The level of fibroids in group B was significantly lower than that in group A, however, the reduction was less than 20% and had no clinical significance. Conclusion: Both PVA and gelatin sponge particles are effective embolic agents for UAE treatment of Uterine fibroids. The side effects and complications caused by gelatin sponge particles embolization are minor, and long-term efficacy needs further observation.