[1]张宇慧,周顺科.子宫肌瘤介入治疗近展[J].介入放射学杂志,2013,(04):340-345.
 ZHANG Yu? hui,ZHOU Shun? ke..Recent advances in uterine artery embolization for the treatment of symptomatic uterine fibroids[J].journal interventional radiology,2013,(04):340-345.
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子宫肌瘤介入治疗近展()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年04期
页码:
340-345
栏目:
综 述
出版日期:
2013-04-17

文章信息/Info

Title:
Recent advances in uterine artery embolization for the treatment of symptomatic uterine fibroids
作者:
张宇慧 周顺科
Author(s):
ZHANG Yu?蛳 hui ZHOU Shun?蛳 ke.
Department of Radiology, the Second Xiangya Hospital, Central South University, Changsha 410011, China
关键词:
【关键词】 子宫肌瘤 动脉栓塞术 生育功能
文献标志码:
A
摘要:
【摘要】 子宫动脉栓塞术(UAE)治疗症状性子宫肌瘤正日趋普遍。与传统的肌瘤切除术相比,UAE作为一种更易被医患接受的微创手术,虽然取得了良好的疗效,但仍存在不少问题:由于缺乏循证医学证据,尚不能确定UAE对患者生殖系统及生育能力的影响,但有文献显示UAE术后妊娠并发症的危险性更高;UAE术中处于缺血状态的卵巢对X射线可能比较敏感,因此术中辐射对卵巢功能的影响值得进一步研究。最近研究表明UAE术前对子宫卵巢动脉吻合进行“保护性栓塞”可以有效降低卵巢早衰等并发症;采用卵巢动脉栓塞术(OAE)与UAE联合应用可有效降低患者复发率,且并不明显增加闭经等并发症的概率;选用新型栓塞剂如丙烯酸胶原微球(TAGM),黄体酮-平阳霉素乳剂等,或数种栓塞剂联合应用可以提高疗效、减轻不良反应。

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备注/Memo

备注/Memo:
(收稿日期:2012-10-08)
更新日期/Last Update: