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目的探讨子宫动脉栓塞治疗子宫肌瘤的临床近期疗效。方法采用Seldinger技术经皮股动脉穿刺子宫动脉造影,对36例子宫肌瘤患者双侧子宫动脉注入聚乙烯醇(PVA)和平阳霉素进行栓塞治疗,术后随访6～12个月,观察临床症状及瘤体大小变化情况。结果31例月经量增多、经期延长等临床症状全部缓解或恢复正常,35例肌瘤体积明显缩小,有效率为97%。结论子宫动脉栓塞治疗子宫肌瘤是一种安全有效的方法,值得临床推广。
Objective To investigate the clinical efficacy of uterine artery embolization in the treatment of uterine fibroids. Methods Percutaneous femoral arterial uterine artery angiography was performed with Seldinger technique. Thirty-six patients with uterine fibroids were treated with polyvinyl alcohol (PVA) and pingyangmycin for embolization. The patients were followed up for 6 to 12 months, Symptoms and tumor size changes. Results 31 cases of menstruation increased, menstruation and other clinical symptoms were relieved or returned to normal, 35 cases of fibroids significantly reduced the volume, the effective rate was 97%. Conclusion Uterine artery embolization for the treatment of uterine fibroids is a safe and effective method, worthy of clinical promotion.