摘要
目的探讨子宫腺肌病行子宫动脉栓塞术(UAE)及栓塞后综合征(PES)相关因素观察与分析。方法选取行UAE治疗的167例子宫腺肌病患者资料,将所有PES围术期潜在因素进行记录并评估分析,通过单因素和多因素logistic回归分析进行确定PES影响因素。结果子宫腺肌病UAE术后PES的发生率为61.07%(102/167)。单因素和多因素分析显示,病灶血供密度等级与PES发生风险显著相关(分别为P=0.008和P=0.002)。结论子宫腺肌病UAE术后患者PES发生与病灶血供等级密切相关,乏血供患者具有较高PES发生率,应引起临床和护理相关观察注意。
Objective To investigate and analyze the related factors of the post-embolization syndrome(PES)after uterine artery embolization(UAE)in adenomyosis.methods 167 patients with adenomyosis who underwent UAE in our hospital from January 2020 were retrospectively analyzed.PES was evaluated,and all potential factors of perioperative were recorded and analyzed.The influencing factors of PES were determined by univariate and multivariate logistic regression analysis.Results The incidence of PES after UAE in adenomyosis was 61.07%(102/167).Univariate and multivariate analyses showed that the grade of vascularity was significantly associated with PES(P=0.008 and P=0.002,respectively).Conclusion The occurrence of PES with adenomyosis after UAE is closely related to the vascularity of the lesion.Patients with low vascularity have a higher risk of PES,which should be paid attention to in clinical and nursing care.
作者
徐文翠
孙涛
吕维富
XU Wencui;SUN Tao;LYU Weifu(Department of Gynecology,Maternal and Child Health Hospital,Anhui Medical University,Hefei 230000,China;Department of Medical Imaging,The First Affiliated Hospital of University of Science and Technology of China,Hefei230000,China)
出处
《医学影像学杂志》
2023年第6期1057-1061,共5页
Journal of Medical Imaging
基金
中央高校基本科研业务费专项资金资助项目(编号:WK9110000061)。
关键词
子宫腺肌病
栓塞后综合征
血管造影
子宫动脉栓塞
介入性
放射学
Adenomyosis
Post-embolization syndrome
Angiography
Uterine artery embolization
Interventional radiology
作者简介
徐文翠(1972-),女,毕业于安徽医科大学,本科学历,副主任护师,主要从事妇产科介入护理工作;通信作者:吕维富,E-mail:weifulv@ustc.edu.cn。
