干旱区生态环境知识资源中心(Arid): 子宫动脉栓塞治疗子宫肌瘤的中远期随访研究

Arid

	子宫动脉栓塞治疗子宫肌瘤的中远期随访研究
其他题名	Uterine arterial embolization for the treatment of fibroids:middle and long term follow-up study
	谭伟 1; 柯要军 1; 姜玲 2; 笪坚 2; 余中发 1; 沈蓓 1; 时建军 1; 简纪华 1
来源期刊	中华放射学杂志
ISSN	1005-1201
出版年	2003
卷号	37 期号:7 页码:648-653
中文摘要	目的探讨子宫动脉栓塞治疗子宫肌瘤中远期的临床疗效。方法对632例子宫肌瘤患者进行选择性子宫动脉造影及栓塞治疗，并进行术后随访。其中随访6个月546例，12个月395例，24个月247例，36个月45例，48个月9例。观察子宫肌瘤血供特点、临床疗效、雌性激素的变化、生育情况、肌瘤复发率。结果血管造影显示子宫肌瘤以一侧子宫动脉供血为主占62.97%，双侧子宫动脉同时供血占33.70%，卵巢动脉参与供血占1.58%，一侧子宫动脉发育缺如占1.74%。随访546例患者，治愈者占12.82%，显效者占67.21%，有效者占13.55%，无效者占6.41%，16例患者自然受孕或避孕失败而受孕，已生产9例，随访6～48个月未发现术后再发肌瘤。结论子宫动脉栓塞治疗子宫肌瘤的方法行之有效，对黏膜下子宫肌瘤可以达到治愈效果。
英文摘要	Objective To evaluate the middle and long term effects of uterine arterial embolization for the treatment of fibroids. Methods Six hundred and ihirty-two patients with uterine fibroids were treated with selective uterine arterial embolization and followed up for 6-48 months. Of them, 546 oases were followed up for 6 months, 395 for 12 months, 247 for 24 months, 45 for 36 months, and 9 for 48 months. Color Doppler, clinical effects, changes of estrogen levels, pregnant rate, and recurrence of fibroids were the contents of follow-up. Results The blood supply to the fibroids was as follows; dominantly from unilateral uterine artery (62.97%), from bilateral uterine arteries (33.70%), and partly from ovarian artery (1. 58% ) , and a single unilateral uterine arteiy was found in 1.74% of the cases. In the 546 cases who were followed up for 6 months, complete disappearance of the fibroids was noted in 70 cases (12. 82% ) , remarkable reduction volume of the fibroids was seen in 367 (67.21%), moderate reduction in 74 (13. 55% ) , and no definite change in 35 (6. 41% ). There were 16 pregnant cases, and 9 of them gave normal birth. No recurrent fibroids were noted during the follow-up periods for 6-48 mouths. Conclusion Uterine artery embolization for the treatment of fibroids is safe and effective. This methods are more appropriate for treating submucosal fibroids .
中文关键词	子宫肿瘤 ; 栓塞 ; 治疗性 ; 随访研究
英文关键词	uterine neoplasms embolization, therapeutic follow-up studies
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1262413
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/204717
作者单位	1.武汉铁路中心医院介入放射科, 武汉, 湖北 430064, 中国; 2.武汉铁路中心医院妇产科, 武汉, 湖北 430064, 中国
推荐引用方式 GB/T 7714	谭伟,柯要军,姜玲,等. 子宫动脉栓塞治疗子宫肌瘤的中远期随访研究[J],2003,37(7):648-653.
APA	谭伟.,柯要军.,姜玲.,笪坚.,余中发.,...&简纪华.(2003).子宫动脉栓塞治疗子宫肌瘤的中远期随访研究.中华放射学杂志,37(7),648-653.
MLA	谭伟,et al."子宫动脉栓塞治疗子宫肌瘤的中远期随访研究".中华放射学杂志 37.7(2003):648-653.