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目的探讨宫腔浸润麻醉在行子宫动脉栓塞介入治疗中的镇痛价值。方法将69例子宫肌瘤病人分为A组(25例),B组(21例)及C组(23例),分别用肌注哌替啶、子宫动脉内注射地塞米松+布洛芬和宫腔浸润麻醉,行子宫动脉超选插管造影栓塞,观察各组栓塞后疼痛的程度,从而对镇痛方法做出评价。结果A组镇痛优良率29%,B组镇痛优良率52%,C组镇痛优良率84%。结论宫腔浸润麻醉法镇痛效果良好,可以作为临床行子宫动脉栓塞时的镇痛方法。
Objective To investigate the analgesic value of uterine infiltration anesthesia in interventional therapy of uterine arterial embolism. Methods 69 patients with uterine fibroids were divided into group A (n = 25), group B (n = 21) and group C (n = 23). The patients were given pethidine intramuscularly and intrauterine injection of dexamethasone plus ibuprofen And uterine infiltration anesthesia, uterine artery cannulation superselective catheterization embolization, observe the degree of embolization after the pain in each group to evaluate the analgesic method. Results The excellent and good rate of analgesia was 29% in group A, 52% in group B, and 84% in group C. Conclusion Intrauterine infusion anesthesia analgesic effect is good, can be used as a clinical uterine artery embolization method of analgesia.