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目的:探讨用两种栓塞剂对子宫肌瘤患者进行介入治疗的临床效果。方法 :对2013年6月~2014年6月期间我院收治的50例子宫肌瘤患者的临床资料进行回顾性研究。将这50例患者随机分为对照组和观察组,每组各有25例患者。为对照组患者使用聚乙烯醇颗粒进行介入治疗,为观察组患者使用丙烯酸胶原微球进行介入治疗。然后,比较两组患者症状改善的情况、术后并发症的发生率、术后疼痛的程度和持续的时间、胃肠道反应的情况和持续的时间及其栓塞剂的使用量。结果 :术后,观察组患者症状改善的情况与对照组患者症状改善的情况无明显差异(p>0.05)。观察组患者术后并发症的发生率与对照组患者术后并发症的发生率无明显差异(p>0.05)。观察组患者术后疼痛的程度和疼痛持续的时间均明显优于对照组患者,二者相比差异具有显著性(p<0.05)。观察组患者胃肠道反应的情况和反应持续的时间均明显优于对照组患者,二者相比差异具有显著性(p<0.05)。观察组患者栓塞剂的使用量明显多于对照组患者,二者相比差异具有显著性(p<0.05)。结论 :用丙烯酸胶原微球对子宫肌瘤患者进行介入治疗的效果显著,可明显减轻其术后的疼痛感和胃肠道反应,但此栓塞剂的使用量较大。此栓塞剂可在临床上推广应用。
Objective: To investigate the clinical effect of interventional treatment of uterine fibroids with two embolic agents. Methods: The clinical data of 50 patients with uterine myoma treated in our hospital from June 2013 to June 2014 were retrospectively studied. The 50 patients were randomly divided into control and observation groups, each with 25 patients each. For the control group patients with polyvinyl alcohol particles interventional treatment for the observation group of patients with collagen microspheres for interventional therapy. Then, the improvement of symptoms, the incidence of postoperative complications, the degree and duration of postoperative pain, the situation and duration of gastrointestinal reactions and the use of embolic agents were compared between the two groups. Results: After operation, there was no significant difference between the observation group and the control group (p> 0.05). There was no significant difference in the incidence of postoperative complications between the observation group and the control group (p> 0.05). The degree of postoperative pain and duration of pain in the observation group were significantly better than those in the control group, the difference was significant (p <0.05). The observation group patients with gastrointestinal reactions and duration of response were significantly better than the control group, the difference between the two was significant (p <0.05). The use of embolic agents in the observation group was significantly more than that of the control group, the difference was significant (p <0.05). Conclusion: Acrylic collagen microspheres for interventional treatment of uterine fibroids in patients with significant effect, which can significantly reduce the postoperative pain and gastrointestinal reactions, but the use of this embolic agent larger. This embolic agent can be widely used in clinical practice.