中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
15期
2276-2277
,共2页
高强度聚焦超声消融%子宫肌层%平滑肌瘤
高彊度聚焦超聲消融%子宮肌層%平滑肌瘤
고강도취초초성소융%자궁기층%평활기류
High-intensity focused ultrasound ablation%Myometrium%Leiomyoma
目的:观察高强度超声聚焦刀( HIFU)治疗子宫肌瘤的有效性及安全性。方法运用HIFU对105例子宫肌瘤患者实施治疗,治疗后1个月、3个月、6个月随访观察患者的临床症状、肌瘤体积及不良反应,评估HFIU治疗的效果。结果治疗前子宫肌瘤体积为(48.1±17.8)cm3,治疗后1、3、6个月瘤体体积分别减小至(30.9±10.2)cm3、(24.5±8.6)cm3、(18.3±7.8)cm3,治疗前后差异均有统计学意义(t=3.518、5.276、8.119,均P<0.01);HIFU治疗6个月后总体的有效率为80.9%,而对于肌层子宫肌瘤、直径小于5 cm的子宫肌瘤HIFU的有效率分别可达到为91.9%、93.8%。结论 HIFU治疗子宫肌瘤的近期疗效确切,且对于肌层及体积较小的肌瘤效率最为显著。
目的:觀察高彊度超聲聚焦刀( HIFU)治療子宮肌瘤的有效性及安全性。方法運用HIFU對105例子宮肌瘤患者實施治療,治療後1箇月、3箇月、6箇月隨訪觀察患者的臨床癥狀、肌瘤體積及不良反應,評估HFIU治療的效果。結果治療前子宮肌瘤體積為(48.1±17.8)cm3,治療後1、3、6箇月瘤體體積分彆減小至(30.9±10.2)cm3、(24.5±8.6)cm3、(18.3±7.8)cm3,治療前後差異均有統計學意義(t=3.518、5.276、8.119,均P<0.01);HIFU治療6箇月後總體的有效率為80.9%,而對于肌層子宮肌瘤、直徑小于5 cm的子宮肌瘤HIFU的有效率分彆可達到為91.9%、93.8%。結論 HIFU治療子宮肌瘤的近期療效確切,且對于肌層及體積較小的肌瘤效率最為顯著。
목적:관찰고강도초성취초도( HIFU)치료자궁기류적유효성급안전성。방법운용HIFU대105례자궁기류환자실시치료,치료후1개월、3개월、6개월수방관찰환자적림상증상、기류체적급불량반응,평고HFIU치료적효과。결과치료전자궁기류체적위(48.1±17.8)cm3,치료후1、3、6개월류체체적분별감소지(30.9±10.2)cm3、(24.5±8.6)cm3、(18.3±7.8)cm3,치료전후차이균유통계학의의(t=3.518、5.276、8.119,균P<0.01);HIFU치료6개월후총체적유효솔위80.9%,이대우기층자궁기류、직경소우5 cm적자궁기류HIFU적유효솔분별가체도위91.9%、93.8%。결론 HIFU치료자궁기류적근기료효학절,차대우기층급체적교소적기류효솔최위현저。
Objective To observe the efficacy and safety of high-intensity focused ultrasound ( HIFU ) therapy in uterine fibroids .Methods HIFU was used in the treatment process of 105 patients with uterine fibroids . Then ,we evaluated the treatment effect of HIFU through the follow-up observation of clinical symptoms ,fibroid volume and adverse reaction after treatment for 1 month,3 months,6 months.Results Before treatment,the tumor volume was (48.1 ±17.8)cm3,that was reduced to (30.9 ±10.2)cm3,(24.5 ±8.6)cm3,(18.3 ±7.8)cm3 at 1,3, 6 months after treatment,the differences were statistically significant (t =3.518,5.276,8,119,all P <0.01). 6 months after treatment,the total effective rate was 80.9%.And for patients with muscular uterine fibroids ,uterine fibroids less than 5 cm,the effective rate was up to 91.9% and 93.8%,respectively.Conclusion HIFU has a positive impact on uterine fibroids ,especially for myometrium and smaller fibroids .