子宫肌瘤子宫动脉栓塞术中瘤体与卵巢血供的相关性及临床观察

发布时间：2018-03-01 05:06

本文关键词： 卵巢动脉子宫肌瘤动脉栓塞卵巢功能　出处：《介入放射学杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的回顾性分析子宫肌瘤行子宫动脉栓塞(UAE)治疗过程中瘤体血供与子宫动脉卵巢支(OB)及卵巢动脉(OA)显影的相关性与临床治疗观察。方法通过对363例诊断明确的子宫肌瘤患者行UAE治疗,观察瘤体血供及OB、OA显影情况,术后随访瘤体变化情况及追踪监测卵巢功能。结果瘤体血供分为由一侧为主型(34.16%)、双侧均匀型(43.80%)、单一侧型(22.04%);其中均匀型OB显影明显多于其他两组(P0.05),而乏血供侧子宫动脉OA要多于其他子宫动脉(P0.05)。OB显影患者卵巢功能出现一过性障碍,3个月后恢复正常,并且各种不同血供类型瘤体缩小变化未见明显差异。结论子宫肌瘤血供分型与OB、OA对卵巢供血存在着平衡相关性,特别对于乏血供侧子宫动脉栓塞应注意栓塞流量,防止出现卵巢早衰。
[Abstract]:Objective to analyze retrospectively the correlation between the blood supply of uterine fibroids and uterine artery ovarian branch (OB) and ovarian artery (OAA) during the treatment of uterine fibroids by uterine artery embolization (UAEE). Methods the clinical treatment of 363 cases of uterine leiomyoma with definite diagnosis was observed. Patients with hysteromyoma were treated with UAE. The blood supply of the tumor and the development of OBU OA were observed. Results the blood supply of the tumor was divided into 4. 16%, 43.80%, 22. 04% and 22. 04%, respectively, among which OB in the homogeneous type was significantly more than that in the other two groups (P 0.05), but the uterine blood supply on the donor side was lack of blood. The ovarian function of the patients with OA was more than that of other uterine artery (P0.05U. OB), and it returned to normal after 3 months. Conclusion there is a balance between the blood supply type of uterine leiomyoma and OBOA on ovarian blood supply, especially for uterine artery embolization of uterine artery. Prevent premature ovarian failure.
【作者单位】：安徽省妇幼保健院介入科安徽医科大学妇幼保健临床学院;
【分类号】：R737.33

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