子宫肌瘤介入治疗近展

被引：37

作者：

张宇慧

周顺科

机构：

[1] 中南大学湘雅二医院放射科

来源：

介入放射学杂志 | 2013年 / 22卷 / 04期

关键词：

子宫肌瘤; 动脉栓塞术; 生育功能;

D O I：

暂无

中图分类号：

R737.33 [子宫肿瘤];

学科分类号：

摘要：

子宫动脉栓塞术(UAE)治疗症状性子宫肌瘤正日趋普遍。与传统的肌瘤切除术相比,UAE作为一种更易被医患接受的微创手术,虽然取得了良好的疗效,但仍存在不少问题:由于缺乏循证医学证据,尚不能确定UAE对患者生殖系统及生育能力的影响,但有文献显示UAE术后妊娠并发症的危险性更高;UAE术中处于缺血状态的卵巢对X射线可能比较敏感,因此术中辐射对卵巢功能的影响值得进一步研究。最近研究表明UAE术前对子宫卵巢动脉吻合进行"保护性栓塞"可以有效降低卵巢早衰等并发症;采用卵巢动脉栓塞术(OAE)与UAE联合应用可有效降低患者复发率,且并不明显增加闭经等并发症的概率;选用新型栓塞剂如丙烯酸胶原微球(TAGM),黄体酮-平阳霉素乳剂等,或数种栓塞剂联合应用可以提高疗效、减轻不良反应。

引用

页码：340 / 345

页数：6

共 27 条

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