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高强度聚焦超声治疗子宫肌瘤的临床观察 被引量:4

Clinical observation of high intensity focused ultrasound in the treatment of uterine fibroid
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摘要 目的研究高强度聚焦超声治疗子宫肌瘤的临床效果和安全性。方法选取2011年9月~2012年10月本院收治的生育后且具有手术切除子宫指征的子宫肌瘤患者74例,对所有患者采取JC型高强度聚焦超声治疗方法,同时采用B超进行定位。在治疗后的1、3、6个月分别患者进行随访,观察患者的症状、体征、实验室指标以及影像学上的变化,综合评估患者的预后及手术并发症的发生情况。结果经治疗后,患者的尿频、经量增多等临床症状有显著改善,影像学检查显示子宫病灶明显缩小,各项实验室指标明显改善(P〈0.05);治疗后共有11例患者发生不良反应,占14.9%,主要为腹痛、尿频、发热等症状。结论高强度聚焦超声治疗子宫肌瘤效果显著。而相关不良反应需要临床进一步研究。 Objective To study the clinical efficacy and safety of high intensity focused ultrasound in clinical treat- ment of uterine fibroid. Methods 74 patients with uterine fibroids in our hospital during the period with surgical re- moval of the uterus indications after birth from September 2011 to October 2011 were selected as the research object. For all patients were taken with JC type high intensity focused ultrasound treatment,and ultrasound were used to locate at the same time.Patients were all followed up after treatment of 1,3,6 months respectively,the changes of patients with symptoms,signs,laboratory and imaging were observed,the prognosis of patients and surgical complications were evalu- ated comprehensively. Results After the treatment,the clinical symptoms of frequent micturition,menorrhagia and other clinical symptoms of patients were improved significantly.Patients imaging showed uterine lesions decreased signifi- candy,and the laboratory indexes improved significantly (P〈0.05).After the treatment,a total of 11 patients were showed adverse reactions,which accounted for 14.9%,the main side effects were abdominal pain,frequent urination,symptoms and lever. Conclusion High intensity focused ultrasound in treatment of uterine fibroids has indeed effective,and the effect is remarkable,but the related adverse effects is worth to further clinical study.
作者 刘奎泉
出处 《中国当代医药》 2013年第36期112-113,共2页 China Modern Medicine
关键词 高强度聚焦超声 子宫肌瘤 临床治疗 应用分析 High intensity focused ultrasound Uterine fibroid Clinical treatment Application analysis
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  • 1李发琪,王智彪.高强度聚焦超声治疗关键技术的思考和完善[J].中国医学文摘(耳鼻咽喉科学),2006,21(2):91-93. 被引量:10
  • 2Tempany CM, Stewart EA, McDannold N, et al. MR imaging-guided focused ultrasound surgery of uterine leiomyomas : a feasibility study. Radi- ology ,2003,226 ( 3 ) : 897
  • 3Stewart EA, Rabinovici J, Tempany CM, et al. Clinical outcomes of focused ultrasound surgery for the treatment of uterine fibroids. Fertil Ster- i1,2006,85 ( 1 ) : 22
  • 4Gierada DS, Erickson SJ, Haughtion VM, et al. MR imaging of sacral plexus : normal fingings. A JR, 1993,160 ( 5 ) : 1059
  • 5Stewart EA. Uterine fibroids[J]. Lancet, 2001, 357(9252): 293--298.
  • 6BuekJ. Management options for uterine fibroid tumors[J]. Am Fam Physician, 2007, 75(10): 1452--1453.
  • 7Bajekal N, Li TC. Fibroids,infertility and pregnancy wastage[J]. Hum Reprod Update, 2000, 6(6): 614--620.
  • 8Hanaft M. Predictors of leiomyoma recurrence after myomectomy[J]. Obstet Gynecol, 2005, 105(4): 877-881.
  • 9Fleischer AC. Color Doppler sonography of uterine disorders[J]. Ultrasound Q, 2003, 19 (4): 179-189.
  • 10Aitken E, Khaund A, Hamid SA, et al. The normal human myometrium has a vascular spatial gradient absent in small fibroids[]]. Hum Reprod, 2006, 21(10): 2669--2678.

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  • 1王英红,郭晓青,赵霞.腹腔镜与开腹子宫肌瘤剔除术比较[J].中国微创外科杂志,2006,6(8):613-615. 被引量:37
  • 2Miika M,Eevi K,Netta M,et al.Characterization of uterine leiomyomas by whole-genome sequencing[J].N Engl J Med,2013,369(1):43-53.
  • 3Md Soriful I,Olga P,Stefano Raffaele G,et al.Uterine leiomyoma:available medical treatments and new possible therapeutic options[J].J Clin Endocrinol Metab,2013,98(3):921-934.
  • 4Mettler L,Ogweno G M,Schndewind R,et al.Challenges of Laparoscopic Resection of Uterine Fibroids in Infertility[M].Frontiers in Gynecological Endocrinology Springer International Publishing,2015,12(2):89-101.
  • 5Uccella S,Cromi A,Bogani G,et al.Systematic implementation of laparoscopic hysterectomy independent of uterus size:clinical effect[J].J Minim Invasive Gynecol,2013,20(4):505-516.
  • 6Wang CJ,Lee JM,Yu HT,et al.Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically[J].Eur J Obstet Gynecol Reprod Biol,2014,183(2):183-187.
  • 7Yin XH,Gao LL,Gu Y,et al.Clinical efficiency investigation of laparoscopic uterine artery occlusion combined with myomectomy for uterine fibroids[J].Int J Clin Exp Med,2014,7(5):1366-1369.
  • 8Odejinmi F,Maclaran K,Agarwal N.Laparoscopic treatment of uterine fibroids:a comparison of peri-operative outcomes in laparoscopic hysterectomy and myomectomy[J].Arch Gynecol Obstet,2015,291(3):579-584.
  • 9Bagaria M,Suneja A,Vaid N B,et al.Low-dose mifepristone in treatment of uterine leiomyoma:A randomised double-blind placebocontrolled clinical trial[J].Aust N Z J Obstet Gynaecol,2009,49(1):77-83.
  • 10Wang X,Qin J,Wang L,et al.Effect of high-intensity focused ultrasound on sexual function in the treatment of uterine fibroids:comparison to conventional myomectomy[J].Arch Gynecol Obstet,2013,288(4):851-858.

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