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目的研究子宫动脉栓塞(Uterine arterial embolization,UAE)治疗子宫肌瘤的临床效果、不良反应及并发症。方法采用Seldinger技术对50例子宫肌瘤患者用PVA颗粒(500～700μm)行超选择性子宫动脉栓塞治疗,术后3～12个月随访复查,观察临床症状改善、肌瘤体积变化及并发症等情况。结果超选择插管及栓塞成功率均为100%,无严重并发症。随访3～12个月,所有患者临床症状改善;术后6个月子宫体积平均缩小38.5%,肌瘤平均缩小62%。结论子宫动脉栓塞术治疗子宫肌瘤是一种微创性的治疗手段,能保留患者的子宫,对控制症状、缩小肌瘤体积有显著的作用,是一种安全、有效的治疗子宫肌瘤的方法。
Objective To study the clinical effects, adverse reactions and complications of uterine fibroids treated with Uterine arterial embolization (UAE). Methods Fifty patients with uterine fibroids underwent ultrasonographic treatment of uterine artery embolization with PVA granules (500 ~ 700μm). The patients were followed up for 3 ~ 12 months after operation. The clinical symptoms, fibroids volume changes and complications were observed. And so on. Results Superselective catheterization and embolization success rates were 100%, no serious complications. All cases were followed up for 3 to 12 months. The clinical symptoms of all patients were improved. The uterus volume decreased by 38.5% on average 6 months after operation, and the average reduction of fibroids was 62%. Conclusion Uterine artery embolization for the treatment of uterine fibroids is a minimally invasive treatment that can retain the patient’s uterus, to control the symptoms and reduce the volume of fibroids have a significant role, is a safe and effective treatment of uterine fibroids method.