Objective To study the efficacy of percutaneous puncture of femoral artery for selective uterine arterial embolization ( UAE) in treating secondary mild to severe anaemia in child-bearing women with benign uterine tumors .Methods Forty-one cases of uterine benign tumors with secondary mild to severe anaemia underwent UAE , and their clinical symptoms , improving of anemia situation and myoma size were observed after treatment for 6 and 12 months.Results After 6 months of UAE treatment, menorrhagia, menostaxis, ventral sank pain, lumbosacral discomfort , urinary frequency or urgency were significantly improved compared to the situation before treatment (χ2 value was 15.89, 9.71, 4.00, 4.23 and 4.10, respectively,all P<0.05), and after 12 months of UAE treatment, the above symptoms were also significantly improved (χ2 value was 33.47, 16.61, 7.41, 11.18 and 8.87, respectively, all P<0.01).After 6 and 12 months of UAE treatment the hemoglobin was significantly increased (t value was 15.36 and 18.79, respectively, both P<0.01), the red blood cell counts were significantly increased (t value was 2.45 and 2.98, respectively, both P<0.05), and the red packed cell volume was also significantly increased (t value was 7.36 and 8.41, respectively, both P <0.05).Myoma diameter after 6 and 12 months of UAE treatment was significantly decreased (t value was 5.42 and 6.69, respectively, both P<0.05).Conclusion UAE can help to stop bleeding , cure anaemia and reduce menstrual blood volume for secondary mild to severe anaemia in child -bearing women with benign uterine tumors.The uterus can be further preserved to offer an opportunity of conception .%目的：研究经皮股动脉穿刺选择性子宫动脉栓塞术（ UAE ）治疗育龄期妇女子宫肌瘤继发中重度贫血的疗效。方法选择41例诊断为子宫肌瘤继发中重度贫血的患者行UAE治疗，随访6～12个月后观察患者临床症状、贫血改善情况和肌瘤大小。结果 UAE治疗6个月后，患者月经量多、经期延长、下腹坠痛、腰骶部不适、尿频或尿急症状较治疗前显著改善（χ2值分别为15．89、9．71、4．00、4．23、4．10，均P＜0．05），治疗12个月后上述症状亦显著改善（χ2值分别为33．47、16．61、7．41、11．18、8．87，均P＜0．01）。治疗6个月后和12个月后血红蛋白均较治疗前显著升高（t值分别为15．36、18．79，均P＜0．01），红细胞计数均较治疗前显著升高（t值分别为2．45、2．98，均P＜0．05），红细胞压积均较治疗前显著升高（t值分别为7．36、8．41，均P＜0．05）。 UAE治疗6个月后和12个月后肌瘤直径均较治疗前显著缩小（ t值分别为5．42、6．69，均P＜0．05）。结论 UAE治疗育龄期妇女子宫肌瘤失血及继发中重度贫血的患者，能迅速止血、抢救患者生命并纠正贫血以及月经量，改善生活质量，保留子宫并使育龄期妇女有生育机会。
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