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动脉栓塞术的副反应和并发症-子宫肌瘤的原因_子宫肌瘤的治疗方法_子宫肌瘤的症状_超声消融_99子宫网
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动脉栓塞术的副反应和并发症

作者:管理员        来源:99子宫网        发布日期:2010-09-07        访问量:5747
导读:子宫动脉栓塞术虽然是一种创伤小、并发症少、无失血、疗效好、恢复快的治疗子宫肌瘤的新技术,但仍可能发生以下副反应和并发症:

      子宫动脉栓塞术虽然是一种创伤小、并发症少、无失血、疗效好、恢复快的新技术,但仍可能发生以下副反应和并发症:

      (1)栓塞后常见的副反应:栓塞剂的反流、导管移位、误栓、附壁血栓形成和肺栓塞;
      (2)盆腔疼痛:由于子宫肌瘤发生严重变性坏死所致,栓塞后疼痛通常出现在术后6~8小时内,可持续几天,可采用多种止痛方法,包括用安定,动脉内注入利多卡因,持续应用静脉止痛剂,病人自控式静脉注入麻醉药物以及全身麻醉等。术后3~8周内的间歇性疼痛一般采用口服消炎镇痛药物治疗;约有5%~10%的妇女盆腔疼痛可持续至2周以上,如没有感染证据而疼痛持续2~3个月以上,需手术治疗。
      (3)栓塞综合征:发生率可达40%,包括下腹疼痛、发热、不规则阴道出血或阴道分泌物增多及恶心、呕吐。为自限性,通常经保守和支持治疗可在48小时到2周内自行缓解,常不需用抗生素;
      (4)下肢酸胀无力;
      (5)坏死组织滞留和排出;
      (6)子宫内膜炎:极少出现,可能与患者术前子宫内膜存在感染灶有关,术中动脉内应用广谱抗生素可有效预防。但应警惕有栓塞术后发生感染而导致败血症死亡的可能。

      子宫动脉栓塞术后行子宫切除术最主要的原因为:感染、栓塞后疼痛、阴道出血、肌瘤脱垂。除上述常见并发症外,最近也有一些少见并发症的报导,如在栓塞治疗后出现永久性闭经伴子宫内膜萎缩,或出现不全肠梗阻等。

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