中国实用妇科与产科杂志

中国实用妇科与产科杂志

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数字化三维影像学与子宫肌瘤子宫动脉栓塞治疗

陈春林，段慧   

  1. 作者单位：南方医科大学南方医院妇产科，广东 广州 510515
  • 出版日期:2016-02-01 发布日期:2016-05-03

Digital three-dimensional imaging and uterine artery embolization for fibroids.

CHEN Chun-lin, DUAN Hui.   

  1. Nanfang Hospital Affiliated Southern Medical University，Guangzhou 510515,China
  • Online:2016-02-01 Published:2016-05-03

摘要：

子宫肌瘤子宫动脉栓塞（UAE）治疗是通过栓塞肌瘤的动脉血管网而达到治疗的目的，因疗效确切、微创，深受要求保留子宫的肌瘤患者欢迎。但该术式仍有10%的患者效果不佳以及一定的并发症发生率。在术前筛选合适的病例、评估手术可行性及判断预后是进一步提高疗效、降低并发症发生的关键。传统的影像学手段不能达到上述目的，但应用数字化三维重建技术对患者的影像学原始数据集进行重建，可再现患者子宫及肌瘤的个体化血管解剖，为UAE的操作提供可视化动脉血管网模型，是解决上述关键问题的新兴手段。

关键词: 数字化, 三维, 影像学, 子宫肌瘤, 子宫动脉栓塞术

Abstract:

Abstract：Uterine artery embolization is one of the most common method to treat uterine fibroids. It is minimal technology and can gain effect exactly. It is welcome by the patients with uterine myoma who require to retain their uterus. However, this surgery still effects poorly in 10% patients and has fewer complications. To improve efficacy and reduce the incidence of complications, screening appropriate cases, assessing the feasibility of surgery and the prognosis preoperative are the key. Digital three-dimensional technology can reproduce individual vascular anatomy of the patients through reconstructing imaging data. Then it can provide the foundation for UAE operations with 3D models. It is a new method to solve the above problems.

Key words: digital, three dimensional, imaging, uterine fibroid, uterine arterial embolism

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