摘要
目的 分析彩色多普勒超声在子宫动脉栓塞术治疗子宫肌瘤疗效评价中的作用。方法 38例子宫肌瘤患者分别在栓塞前、栓塞后5-9天、3-6个月进行超声检查，观察子宫和肌瘤的大小、形态、声像图、肌瘤的血流变化，并分析栓塞后3-6个月的临床症状改善情况。结果 栓塞后3-6个月，月经异常改善达83%，肌瘤压迫症状缓解达78%;肌瘤体积和子宫体积缩小分别达65%和56%（P〈0.01）。栓塞后5-9天、3-6个月，肌瘤血流明显减少甚至消失（P〈0.01）;肌瘤内部回声出现高回声并逐渐减低，演变为稍高回声、等回声或低回声，肌瘤周边可见高回声环。结论 子宫动脉栓塞是治疗有症状子宫肌瘤安全和有效的方法，彩色多普勒超声为评价其疗效提供了重要的依据。
Objective To study the clinical value of color Doppler sonography in the evaluation of effects of uterine arterial embolization （UAE） for the leiomyoma. Methods Sonographic examinations were performed in 38 patients with symptomatic leiomyoma before, and 5-9 days, 3-6 months after UAE. The size, morphology, echotexture and blood perfusion of uterus and leiomyoma were observed, and clinical symptoms also were assessed. Results Thirty cases （83%） had moderate or better improvement in menorrhagia. Fourteen cases （78%） with bulk-related symptoms were improved. The volumes of uterus and leiomyoma decreased by 65% and 56% 3-6 months after UAE （P〈0.01）, the internal echotextures of leiomyoma changed from hyperecho to homogeneous, slight hyperecho, isoecho or hypoecho, the ring strong echo could be seen around the leiomyoma; the blood perfusion of the leiomyoma reduced significantly after UAE （P〈0. 01）. Conclusion UAE for the treatment of symptomatic leiomyoma is a safe and effective and color Doppler sonography provides an important method for evaluating the effect of UAE.
出处
《中国医学影像技术》
CSCD
北大核心
2007年第5期765-767,共3页
Chinese Journal of Medical Imaging Technology
关键词
子宫动脉栓塞
子宫肌瘤
超声检查
Uterine arterial embolization
Leiomyomata
Ultrasonography
