子宫动脉栓塞术加宫内放置曼月乐治疗子宫腺肌病150例临床分析

摘要

Objective to investigate the clinical efficacy of uterine artery embolization combined with intrauterine Mirena placement in treatment of adenomyosis. Methods 150 cases with uterine adenomyosis were treated with uterine artery embolization combined with intrauterine Mirena placement. and postoperative following-up was performed at 3, 6, 12, 24 month to observe the changes in the degree of dysmenorrheal, menstrual flow and uterine volume.Results the clinical symptoms of 150 patients who received uterine artery embolization combined with intrauterine Mirena placement were all improved, and their menstrual lfow were signiifcantly reduced and their anemia condition were improved. Also, their uterine volumes were significantly reduced, with no significant effect on ovarian function. Moreover, the dysmenorrhea symptoms completely disappeared in 135 cases after a month and after five months there were three cases showing dysmenorrhea symptoms disappeared completely. Conclusion Uterine artery embolization combined with intrauterine Mirena placement is a kind of minimally invasive and safe treatment with less adverse reactions. It has signiifcant clinical effect and can signiifcantly improve the quality of life for patients.%目的：探讨子宫动脉栓塞术加宫内放置曼月乐治疗子宫腺肌病的临床疗效。方法对150例子宫腺肌病患者，行子宫动脉栓塞术加宫内放置曼月乐，术后随访3、6、12、24,个月观察患者痛经程度变化，月经量及子宫体积变化。结果子宫动脉栓塞术加宫内放置曼月乐150例患者临床症状全部缓解，月经量明显减少，贫血改善；子宫体积明显缩小，卵巢内分泌功能无明显影响。其中135例术后1个月痛经症状完全消失，3例术后5个月痛经症状完全消失。结论子宫动脉栓塞术加宫内放置曼月乐是一种微创、安全、不良反应少的治疗方法，临床疗效显著，能明显改善患者生活质量。