子宮動脈栓塞治療癥狀性子宮肌瘤的臨床研究.pdf

1、山西醫(yī)科大學碩士學位論文子宮動脈栓塞治療癥狀性子宮肌瘤的臨床研究姓名：屈文華申請學位級別：碩士專業(yè)：醫(yī)學影像與核醫(yī)學指導教師：謝春明20100520山兩醫(yī)科大學碩_上學位論文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、陽他n0s甜ollscomplicationssuch嬲hys儲itisandp潞舶m砌ectedhySt啪myomaT0comparemelevclofh0咖oneaboutoVa瞅E2，F(xiàn)SH，LH)beforeUAEand3，6，12mo