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[1]徐 涛,秦秀朵,司园园,等.高强度聚焦超声治疗子宫肌瘤临床研究[J].医学研究与战创伤救治(原医学研究生学报),2012,14(04):325-327.
　XU Tao,QIN Xiu-duo,SI Yuan-yuan,et al.Clinical study of high intensity focused ultrasound in treatment of hysteromyoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(04):325-327.
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高强度聚焦超声治疗子宫肌瘤临床研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年04期
页码:
325-327
栏目:
出版日期:
2012-07-20

文章信息/Info

Title:
Clinical study of high intensity focused ultrasound in treatment of hysteromyoma
文章编号:
1672-271X(2012)04-0325-03
作者:
徐 涛; 秦秀朵; 司园园; 周 雯; 黄建梅
223001 江苏淮安，解放军82医院妇产科
Author(s):
XU Tao; QIN Xiu-duo; SI Yuan-yuan; ZHOU Wen; HUANG Jia-mei
Department of Obstetrics and Gynaecology,82 Hospital of PLA,Huaian,Jiangsu 223001,China
关键词:
高强度超声聚焦; 超声治疗; 子宫肌瘤
Keywords:
high intensity focused ultrasound;  ultrasonographic treatment;  hysteromyoma
分类号:
R737.33
DOI:
-
文献标志码:
A
摘要:
目的 探讨高强度聚焦超声(high intensity focused ultrasound，HIFU)治疗子宫肌瘤的近期疗效及安全性。方法 选择2005年5月至2010年12月诊断为子宫肌瘤、不愿意手术、要求保留子宫、已生育的956例作为治疗对象，共有子宫肌瘤1116个，按瘤体大小分A、B、C三组。采用HIFU治疗，比较治疗前与治疗后3个月症状、瘤体大小及瘤体内超声影像学变化。结果 治疗总有效率:A组100%、B组97.9%、C组67.4%。3个月后肌瘤体积缩小率:A组66.44%、B组57.05%、C组5.71%。月经不调缓解率85.8％，腰骶坠胀缓解率83.1％，尿频缓解率72.3％。并发症:治疗后5例持续阴道流血，11例皮肤I度烫伤，2例浅II度烫伤，1例深II度烫伤，14例肉眼血尿，28例下腹部腰骶部疼痛。结论 HIFU治疗子宫肌瘤比较安全、有效，可作为一种无创性治疗子宫肌瘤的方法。
Abstract:
Objective To investigate short-term therapeutic effect and safety of high intensity focused ultrasound (HIFU) in treatment of hysteromyoma.Methods From May 2005 to December 2010,956 procreated women diagnosed as hysteromyoma,unwilling to accept operation and wanting to keep their uteri,were seleted as therapeutic cases.The number of myomas was 1116,and the patients were divided into group A,B,and C according as the size of myomas.Treatment was carried out by HIFU.The clinical symptoms,dimension of myomas and ultrasonographic changes inside myomas before and 3 months after the treatment of HIFU were compared.Results The total effective rate of 956 hysteromyoma patients treated with HIFU were 100%,97.9%,and 67.4% in Group A,B,and C.The rate of reducing of dimensions of myomas three month later were 66.44%,57.05%,and 5.71%.The remitting rate of menoxenia was 85.8%,and that of lumbosacral hypostatic distending pain was 83.1% and that of frequency of micturation was 72.3%.After HIFU ablation,unremitting vagina bleeding occurred in 5 cases,I°skin scalding occurred in 11 cases and superficious II°skin scalding occurred in 2 cases and deep II°skin scalding occurred in 1 case,gross hematuria occurred in 14 cases,and lower abdominal and lumbosacral pain occurred in 28 cases.Conclusion In the treatment of hysteromyoma,HIFU is safe and effective and is a noninvasive therapeutic method.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2012-07-20