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1、了宫动脉栓塞术治疗妇科良性疾病对卵巢功能的影响［摘耍］冃的探讨子宫动脉栓塞(UAE)治疗子宫肌瘤及对子宫腺肌病患者卵巢功能的影响，为有生冇要求的患者丿应用UAE提供理论依据。方法选择21〜45岁，既往月经周期规则,因子宫肌瘤及子宫腺肌病行UAE的妇女37例。监测治疗后在栓塞前、栓塞后3个月及6个月，评估所有病人的症状改善情况，并且采用经阴道彩色能量多普勒超声对子宫及病灶进行动态监测，监测月经，子宫大小,子宫动脉和卵巢动脉血流动态改变及性激素水平情况。结果①子宫动脉栓塞术前后子宫体积和子宫动脉血流参数比较，术前
2、与术后3个月、术后6个月比较差异有统计学意义(P<0.05);②了宫动脉栓塞术前后卵巢动脉血流、血性激素(FSH、LH、E2)与刀经周期的情况比较差异无统计学意义(P>0.05)o结论UAE是一项安全的治疗技术,不会引起永久性闭经，对卵巢内分泌功能及卵巢排卵功能影响是短暂、轻微、可逆的。［关键词］动脉栓塞术；子宫肌瘤；子宫腺肌病;卵巢功能［中图分类号］R737.31：文献标识码］A［文章编号］1673-9701(2010)04-27-03EffectofUterineArteryEmbolizationUse
3、dinTreatmentofLeiomyomaandAdenomyosisonOvarianFunctionPANLihualSUNHua2DINGYonghuilYANGCaihonglJIXueqinl1.DepartmentofGynecology,AffiliatedHospitalofNingxiaMedicalUniversity,Yinchuan750004,China;2・ShanxiProvincialPeople，sHospitalInvolvedinSection,Xi'an710068
4、,China［Abstract］ObjectiveToevaluatetheuterinearteryembolization(UAE)fortreatmentofuterineleiomyomaandadenomyosisinpatientswithovarianfunctionoftheringshadow,therequirementsformaternitypatientsandprovideatheoreticalbasisUAE・Methods21〜45yearsold,previousmenst
5、rualcycleisduetouterine1eiomyomaandadenomyosis1ine37casesofwomeninUAE.Monitoringintheembolizationtreatmentbefore3monthsafterembolizationand6monthstoassessallthepatient'ssymptomstoimprovethesituation,andtheuseofonergybytransvaginalcolorDoppleranduterinelesio
6、nsondynamicmonitoring,themonitoringperiod,uterinesize,uterinearteryandovarianarterybloodflowdynamicchangesandlevelsofsexhormones.Results①bothbeforeandafteruterinearteryembolizationforuterinevolumeanduterinearterybloodflowparameters,preoperativeandpostoperat
7、ive3months,6monthsafteroperationthedifferencewasstatisticallysignificant(P〈0・05);(2)bothbeforeandafteruterinearteryembolizationofovarianarteriesbloodflow,bloodhormone(FSH,LH,E2)andthemenstrualcycle,comparedtothesituationtherewasnosignificantdifference(P>0.0
8、5).ConclusionUAEisasafetreatmentandwillnotcausepermanentamenorrheaofovarianendocrinefunctionandovulationofovarianfunctionisashort,mild,reversible・［Keywords］Uterinearteryembolization;U3rincleiomyoma;Ade
