【摘要】 目的 评价子宫动脉栓塞术(UAE)治疗子宫肌瘤并发贫血的临床疗效。方法 96例子宫肌瘤并发贫血的患者，采用Seldinger技术进行一侧股动脉插管，超选择插入双侧子宫动脉后，经导管注入栓塞颗粒阻断子宫肌瘤血供。治疗前、治疗后6个月B超分别测量子宫和子宫肌瘤体积以及检测血红蛋白的变化。结果 96例患者子宫和子宫肌瘤体积由术前(211.32±90.54)cm3和(76.91±66.03)cm3缩小至(142.17±67.09)cm3和(40.94±57.32)cm3(P<0.01)；血红蛋白由术前(86.76±17.34)g/L恢复至术后(113.24±14.02)g/L(P<0.01)。治疗月经量增多和经期延长患者的有效率分别为93.75%(90/96)和90.90%(60/66)。不良反应主要为盆腔缺血性疼痛，无严重并发症。结论 UAE能明显改善子宫肌瘤并发贫血患者的临床症状，无须输血来纠正贫血，可显著缩小子宫和子宫肌瘤的体积。

    【关键词】 平滑肌瘤；贫血；子宫动脉栓塞术

    Clinical observation of uterine arterial embolization for uterine myoma secondary anemia

    SUN Lei，XU Jun.Department of Obstetrics and Gynecology，Shanghai Eighth People’s Hospital，Shanghai 200235，China

    【Abstract】 Objective To evaluate the clinical effects on uterine myoma with secondary anemia from uterine arterial embolization(UAE).Methods 96 patient with uterine myoma accompanicated with secondary anemia employed Seldinger method to perform super-selective arterial cannulation and embolization particles were injected into uterine artery to block the blood supply of myoma.B ultrasound were used to measure the size of the uterine and the myoma.The changes of hemoglobin were measured.Results The volume of the uterine and the myoma of 29 patients decreased from(211.32±90.54)cm3 respectively and (76.91±66.03) cm3 to(142.17±67.09)cm3 and (40.94±57.32) cm3 respectively.Hemoglobin was increased from (86.76±17.34)g/L to (113.24±14.02)g/L(P<0.01).The difference in uterine volume.myoma volumn and hemoglobin before and 6 month after treatment was significant (P<0.01).The effective rates of menstrual quantity increased and menstrual period prolonged were 93.75%(90/96) and 90.90%(60/66).Conclusion UEA is an effective method for the treatment of uterine myoma accompanicated with secondary anemia. ......