子宫动脉栓塞术治疗子宫肌瘤

摘要

子宫动脉栓塞术治疗子宫肌瘤不但能使肌瘤坏死、缩小甚至消失,从而改善临床症状,同时可以保留子宫的生理功能,已经成为一种有效的、保留子宫的微创治疗方法.但在临床应用中也出现一些严重的并发症,甚至出现死亡病例.获得良好疗效和避免并发症的关键是处理好以下问题:选择合适的病例、使用合适的栓塞剂和栓塞颗粒、准确栓塞肌瘤的靶动脉、控制好栓塞程度、及时发现并处理并发症.%Treating uterine fibroids with uterine artery embolization ( UAE ) can make fibroids mortify, shrink or even disappear, improving the clinical symptoms, and keep the physiological function of the uterus. UAE has become an effective, minimally invasive treatment method which can retain the uterus.However, some serious complications appeared in the clinical application, which even make patients die. The key to get good curative effect and avoid complications is to deal with the following issues appropriately: selecting the appropriate cases, using appropriate embolic agents and embolization particles, em-bolisming target artery fibroids accurately, controlling the degree of embolization, and detecting and handling complications in time.