| Objective: to study the uterine artery embolization and local infusion chemotherapydrugs in treatment of clinical value.Methods: Analyzed75cases with gestationaltrophoblastic neoplasia from2006to2012retrospectively in our hospital. Divided thepatients into two groups,20cases with selective uterine artery embolization and local druginfusion, systemic chemotherapy after surgery.55cases of control group were treatedwith systemic chemotherapy routinely. To stop time of vaginal bleeding, uterine arteryresistance index and around the tumor blood supply situation as observation indexes toevaluate the effectiveness of uterine artery embolization. Compare two groups of patientsbefore and after treatment the HCG drops, normal time return to, uterus and tumorshrinkage and chemotherapy treatment. Lines at the same time for uterine arteryembolization, and compares the ovarian function of total hysterectomy patients. And theuterine artery embolization do discuss the specific side effects and complications. Toinvestigate25cases ofuterine artery embolization with postoperative fertility.measurementdata using kapper test, counting data using t test analysis.Results: The team ofembolization treatment effective rate was95%. Embolization combined with systemicchemotherapy clinical treatment efficiency was100%, and the control group (systemicchemotherapy) is80%, Team uterine volume, degree of tumors shrink volume are higherthan the control group and intravenous systemic chemotherapy treatment and HCGreturned to normal time was shorter than control group. Postoperative uterine arteryembolism and uterus cut postoperative ovarian function no significant statisticaldifferences between them.Conclusion: Uterine artery embolization can effectively preventand treat gestational trophoblastic neoplasia primary or metastatic tumor hemorrhage,oven for systemic vein chemotherapy has played a very good assisted effect. Reproductivefunction, keep patient at the same time and improve the quality of tumor patient’s life. |
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