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子宫纤维瘤栓塞术——子宫有症状平滑肌瘤的一种新治疗选择

[Uterine fibroid embolization - a new therapeutic option for symptomatic leiomyomata of the uterus].

作者信息

Kröncke T J, Gauruder-Burmester A, Hamm B

机构信息

Institut für Radiologie, Universitätsklinikum Charité, Campus Mitte, Humboldt-Universität zu Berlin.

出版信息

Rofo. 2002 Oct;174(10):1227-35. doi: 10.1055/s-2002-34563.

Abstract

Uterine fibroid embolization (UFE) is a new minimal-invasive therapy for the treatment of symptomatic leiomyomata of the uterus and a uterine-sparing alternative to surgical procedures. Short-term and mid-term results indicate a high clinical success rate with improvement of fibroid-related bleeding symptoms in 80 - 100 % of cases, improvement of bulk symptoms in 60 - 100 % of cases and reduction in fibroid volume at an average of about 36 - 78 % combined with a low rate of complications and side effects. This review discusses indications and contraindications, technique and pathophysiology, choice of material, results and complications of UFE on the basis of the current literature and our own results.

摘要

子宫纤维瘤栓塞术(UFE)是一种用于治疗有症状的子宫平滑肌瘤的新型微创疗法,是一种保留子宫的手术替代方案。短期和中期结果表明,临床成功率较高,80%-100%的病例中与纤维瘤相关的出血症状得到改善,60%-100%的病例中肿块症状得到改善,纤维瘤体积平均减少约36%-78%,同时并发症和副作用发生率较低。本文基于当前文献和我们自己的结果,讨论了子宫纤维瘤栓塞术的适应症和禁忌症、技术和病理生理学、材料选择、结果及并发症。

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