论文部分内容阅读
目的 :探讨平阳霉素碘油乳剂 (PingyangmycinLipiodolEmulsionPLE)治疗症状性子宫肌瘤的疗效及临床应用。材料与方法 :17例患者术前明确诊断为子宫肌瘤 ,采用Seldinger技术行双侧子宫动脉超选择插管注入PLE ;17例行 2 5次动脉栓塞 ,其中 8例分别做了 2次栓塞治疗。结果 :全部病例均为双侧子宫动脉供血并行靶血管栓塞 ,术后随访 3～ 9个月 ,瘤体平均缩小 44 % ,有效率 10 0 % ,2例患者术后 4月B超复查瘤体基本消失 ;10例术后 1月后月经恢复正常 ,3例绝经期年龄患者术后 2月闭经 ,2例患者术后 2月贫血及压迫症状明显改善。结论 :PLE治疗症状性子宫肌瘤近期疗效显著 ,副作用轻 ,安全性好 ,是一种理想的治疗方法
Objective: To investigate the efficacy and clinical application of Pingyangmycin Lipiodol Emulsion PLE in the treatment of symptomatic uterine fibroids. Materials and Methods: 17 patients were diagnosed as uterine fibroids preoperatively. SLEdinger technique was used to infuse PLE with bilateral uterine artery superselective cannulation. 17 patients underwent 25 arterial embolization, 8 of whom received 2 embolizations. . Results: All cases were bilateral uterine artery blood supply with target vessel embolization. After 3 to 9 months of follow-up, the average tumor size was reduced by 44% with an effective rate of 100%. Two patients underwent B ultrasonography at 4 months after operation. Basically disappeared; 10 cases returned to normal 1 month after surgery, 3 cases of menopause age 2 months postoperative amenorrhea, 2 cases of postoperative anemia and compression symptoms improved significantly. Conclusion : PLE is effective in the treatment of symptomatic uterine fibroids, with mild side effects and good safety. It is an ideal treatment method.