CAJ | 학술논문

目的：探讨高强度聚焦超声（HIFU）消融治疗子宫肌瘤（＜4 cm）的安全性、有效性。方法回顾性研究2011年1月至2013年2月在该院经 HIFU治疗的79例单发肌瘤患者，评价其治疗后症状改善情况、肌瘤远期缩小情况及相关不良反应。结果79例子宫肌瘤患者均顺利完成治疗。与治疗前比较，治疗后2年肌瘤缩小率为79．0％（四分位间距：57．9％，92．1％）；患者治疗后症状严重程度（SSS）评分及肌瘤症状与健康相关生活质量问卷（UFS‐QOL）评分较治疗前显著改善；无严重不良反应发生。结论 HIFU可以安全用于直径小于4 cm的子宫肌瘤治疗。
목적：탐토고강도취초초성（HIFU）소융치료자궁기류（＜4 cm）적안전성、유효성。방법회고성연구2011년1월지2013년2월재해원경 HIFU치료적79례단발기류환자，평개기치료후증상개선정황、기류원기축소정황급상관불량반응。결과79례자궁기류환자균순리완성치료。여치료전비교，치료후2년기류축소솔위79．0％（사분위간거：57．9％，92．1％）；환자치료후증상엄중정도（SSS）평분급기류증상여건강상관생활질량문권（UFS‐QOL）평분교치료전현저개선；무엄중불량반응발생。결론 HIFU가이안전용우직경소우4 cm적자궁기류치료。
Objective To investigate the safety and effectiveness of high intensity focused ultrasound (HIFU ) in the treat‐ment of uterine fibroid (<4 cm) .Methods Retrospectively studied 79 single fibroid (<4 cm) patients that treated with HIFU in our hospital from January 2011 to February 2013 .Evaluated the improvement of post‐treatment ,shrinkage of fibroid volume and HIFU‐related adverse reaction .Results All the 79 patients were successfully cured by HIFU treatment .The shrinkage rate of fi‐broid was 79 .0% (four point spacing 57 .9% ,92 .1% ) after 2‐year treatment ;Symptom severity score (SSS) and uterine fibroid symptom and quality of life score (UFS‐QOL) were significantly improved ;and there was no adverse reaction .Conclusion HIFU can be safely used in the treatment of small uterine fibroids (diameter<4 cm ) .