[1]赵振华,王 挺,卢增新,等.子宫动脉栓塞治疗单发和多发子宫肌瘤远期疗效对比分析[J].介入放射学杂志,2013,(07):557-561.
 ZHAO Zhen? hua,WANG Ting,LU Zeng? xin,et al.Uterine artery embolization for uterine leiomyomas: a comparison between solitary and multiple uterine leiomyomas[J].journal interventional radiology,2013,(07):557-561.
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子宫动脉栓塞治疗单发和多发子宫肌瘤远期疗效对比分析()

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

卷:
期数:
2013年07期
页码:
557-561
栏目:
肿瘤介入
出版日期:
2013-07-23

文章信息/Info

Title:
Uterine artery embolization for uterine leiomyomas: a comparison between solitary and multiple uterine leiomyomas
作者:
赵振华 王 挺 卢增新 徐利军 郑媛媛 阮雅文 王伯胤
Author(s):
ZHAO Zhen?蛳 hua WANG Ting LU Zeng?蛳 xin XU Li?蛳 jun ZHENG Yuan?蛳 yuanRUAN Ya?蛳 wen WANG Bo?蛳 yin.
Department of Radiology, Shaoxing People’s Hospital, Zhejiang University, Shaoxing, Zhejiang Province 312000, China
关键词:
【关键词】 子宫肌瘤 子宫动脉 栓塞
文献标志码:
A
摘要:
【摘要】 目的 对比分析子宫动脉栓塞术(UAE)治疗单发与多发子宫肌瘤的远期疗效。方法 34例子宫肌瘤患者,按肌瘤数量分为单发组(n = 17)与多发组(n = 17),用PVA、海藻酸钠(KMG)颗粒行栓塞治疗,用症状调查表记录术前与术后的症状情况,用超声观察术前、术后肌瘤及子宫体积、肌瘤钙化情况。结果 多发子宫肌瘤以双侧子宫动脉供血为主(94.1%),单发肌瘤以双侧子宫动脉供血或双侧子宫动脉供血但一侧优势供血(P < 0.05);术后并发症组间差异无统计学意义;随访时间,单发组平均7.6年,多发组7.0年。UAE对于治疗单发与多发肌瘤均具有较好的远期疗效,UAE术后症状均得到持续改善,组间比较差异无统计学意义(P > 0.05);UAE术后子宫体积与肌瘤体积均较术前缩小(P < 0.05),组间差异无统计学意义。UAE术后肌瘤钙化单发组为11例,多发组14例(P > 0.05),远期随访原肌瘤治疗后复发4例(单发组3例,多发组1例);新发肌瘤7例(单发组3例,多发组4例),组间差异无统计学意义;术后怀孕情况组间无显著差异。结论 UAE治疗单发与多发子宫肌瘤均具有良好远期疗效,是治疗子宫肌瘤的有效方法,能持续缩小肌瘤体积,改善子宫肌瘤患者的临床症状。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2013-01-23)
更新日期/Last Update: