子宮動(dòng)脈栓塞治療癥狀性子宮肌瘤的臨床研究.pdf

1、山西醫(yī)科大學(xué)碩士學(xué)位論文子宮動(dòng)脈栓塞治療癥狀性子宮肌瘤的臨床研究姓名：屈文華申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：醫(yī)學(xué)影像與核醫(yī)學(xué)指導(dǎo)教師：謝春明20100520山兩醫(yī)科大學(xué)碩_上學(xué)位論文Clinicalresearchofuterinearteryenibolizationf；DrSymptomaticHysteromyomaAbstractobjec晰e：Toi11Vestigatethetllerapeuticeffectofut甜neart吖

2、鋤bolization(UAE)in仃eannentofsyTnptomatichysteromyomaMaterialsandMethods：UndermeguidallceofX一嘲，，t11eselectiVe砷erineaneryenlbolization(UAE)weredonein50PalielltswithsynlptomatichySteromyomawhowerediagnosedbygynaecolo西standm

3、easuredbyson0黟aphyEmbolizingagelItsincludePolycllelleVinylalcohol(PVA)，Pingyan舯yciIl，飄lperlipiodol鋤ulsion觚dgela_tinspongeparticlesTomeasmethepati鉍ts’hysteromyoma鋤dut嘶nevol砌e，thelevelofhomoneabout0Vary(E2，F(xiàn)SH，LH)，tlle鋤伽mo

4、fm饑sesaIldprotof秭h鋤ebeforeUAE，tocomparetllechaIlgeofmepalients’clinicalsymptomsbefofe鋤daRerUAE50patientswerefollowedupfor3，6，12mon恤aboutt11eirhysteromyomaa11dute^neVol啪e，theleVelofhI腳on6dbout0Vary(E2，F(xiàn)SH，LH)a11dcornplica

5、tionaRerUAEResults：50patients、析thsymptomatichysteromyomawereperfonlledwiⅡlUAE，tlleaVerage426士37yearsThesuccessmteofm甜ne咖鋤舀。黟aphywaslOO％(50／50)An西。黟apllyrevealedarichbloodsupplyof47casespatents’ute^ne矗broidsbybilatelIalut

6、erineartery3caseSpatellts’uterine矗broidsweresuppliedbysin舀eut嘶neane哆Bilateralut麗neaneneswere觚lbolized世erUAE，t11eclinicalsyIIlptomswereobviouslyimproVed，andpatieIltsretumedt0no姍almellstnlalcyde，aIlaelIliawereimproVed(尸O05

7、)TheaVerageVolumeofb弘teromyomabeforeUAEis61O士172cm’，meaVefageVolumeofwombbeforeUAEis3404士315啪’ARerUAE50paIielltswerefollowedupfor3，6，12montlls，nle豫nissionrateofutefinev01啪ewas382％、467％、497％，therelnissionrateofhysteromyom

8、aw雛321％、659％、748％Thereisastatisticalsi鰣fic鋤t(氏O05)comparingwimpro—UAETlletotale疏ctiveratew嬲94％l2mon廿lSafterUAETherewasposteIIlbolizationcomprehellsivesyIIlptomillcludiI培pain(40／50)，fcV呱38／50)，gas們intestillals舯ptom(24／50)

9、，V晤n0bleeding(43／50)1week撕erUAE，ⅡlesyIIlptomdis印pearedaRerbeing骶atedExc印tthat1c勰ew豁menost撕s，廿lere、陽(yáng)他n0s甜ollscomplicationssuch嬲hys儲(chǔ)itisandp潞舶m砌ectedhySt啪myomaT0comparemelevclofh0咖oneaboutoVa瞅E2，F(xiàn)SH，LH)beforeUAEand3，6，12mo