数字减影血管造影三维导航技术在UAE患者中的应用效果及对并发症的影响
Application of digital subtraction angiography three-dimensional navigation technology in UAE patients and its influence on complications
金钊 1郑国 1高辉玲 1刘江丽 1付志霞2
作者信息
- 1. 050090 河北 石家庄,河北生殖妇产医院放射介入科
- 2. 050090 河北 石家庄,河北生殖妇产医院生殖医学科
- 折叠
摘要
目的 探讨数字减影血管造影(digital subtraction angiography,DSA)三维导航技术在子宫动脉栓塞(uterine artery embolization,UAE)患者中的应用效果.方法 选取2020 年1 月至2023 年1 月河北生殖妇产医院接受治疗且术后均接受3 个月随访的105 例UAE患者的资料,其中接受常规血管造影引导下UAE治疗的50 例作为对照组,接受DSA三维导航技术引导下UAE治疗的55 例作为观察组,比较两组患者术后临床疗效、手术时间、并发症和卵巢功能指标[黄体生成素(luteinizing hormone,LH)、卵泡刺激素(follicle stimulating hormone,FSH)、雌二醇(estradiol,E2)].结果 观察组手术时间(51.11±5.58)min 少于对照组(72.33±7.04)min、治疗总有效率(98.18%)高于对照组(84.00%),差异有统计学意义(P<0.05);治疗3 个月后,对照组LH水平升高且高于观察组,E2 水平降低且低于观察组,差异有统计学意义(P<0.05),两组FSH水平比较,差异无统计学意义(P>0.05);观察组并发症发生率(9.09%)低于对照组(30.00%),差异有统计学意义(P<0.05).结论 DSA三维导航技术引导下的UAE治疗能够缩短手术时间,减少对卵巢功能的影响,降低并发症发生率,提高临床疗效.
Abstract
Objective To explore the application effect of digital subtraction angiography(DSA)three-dimensional navigation technology in patients with uterine artery embolization(UAE).Methods The data of 105 patients with UAE who were treated in Hebei Maternity Hospital from January 2020 to January 2023 and followed up for 3 months after operation were selected,including 50 patients who were treated with UAE under the guidance of routine angiography as the control group and 55 patients who were treated with UAE under the guidance of DSA three-dimensional navigation technology as the observation group.The postoperative clinical efficacy,operation time,complications and ovarian function index[luteinizing hormone(LH),follicle stimulating hormone(FSH),estradiol(E2)]were compared between the two groups.Results Operation time of observation group(51.11±5.58)min was less than the control group(72.33±7.04)min,and the total effective rate(98.18%)was higher than that of the control group(84.00%),the differences were statistically significant(P<0.05).After 3 months of treatment,The LH level in the control group increased and was higher than that in the observation group,while the E2 level decreased and was lower than that in the observation group,the differences were statistically significant(P<0.05).There was no statistically significant difference in FSH levels between the two groups(P>0.05).The incidence of complications in observation group(9.09%)was lower than that in control group(30.00%),the difference was statistically significant(P<0.05).Conclusion UAE treatment guided by DSA three-dimensional navigation technology can shorten the operation time,reduce the impact on ovarian function,reduce the incidence of complications and improve the clinical efficacy.
关键词
数字减影血管造影三维导航技术/子宫动脉栓塞/卵巢功能/临床疗效Key words
digital subtraction angiography three-dimensional navigation technology/uterine artery embolization/ovarian function/clinical efficacy引用本文复制引用
基金项目
石家庄市科学技术研究与发展计划(223460663)
卫生部医药卫生科技项目(13010520222810)
出版年
2024
NETL
NSTL
万方数据