|本期目录/Table of Contents|

[1]杨欲晓,杨宏亮,李发兵,等.超声引导瘤内注射不同硬化剂治疗子宫肌瘤63例疗效对比[J].医学研究与战创伤救治(原医学研究生学报),2015,17(02):160-162.[doi:10.3969/j.issn.1672-271X.2015.02.015]
 YANG Yu-xiao,YANG Hong-liang,LI Fa-bing,et al.Comparison of curative effect on 63 cases of ultrasonic inducing inter-tumor injection of different sclerosant on hysteromyoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(02):160-162.[doi:10.3969/j.issn.1672-271X.2015.02.015]
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超声引导瘤内注射不同硬化剂治疗子宫肌瘤63例疗效对比()

《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17卷
期数:
2015年02期
页码:
160-162
栏目:
出版日期:
2015-04-22

文章信息/Info

Title:
Comparison of curative effect on 63 cases of ultrasonic inducing inter-tumor injection of different sclerosant on hysteromyoma
作者:
杨欲晓杨宏亮李发兵成 佳伍班班王义霞
243100 安徽当涂,解放军81医院86临床部特诊科
Author(s):
YANG Yu-xiao YANG Hong-liang LI Fa-bing CHENG Jia WU Ban-ban WANG Yi-xia.
Department of Ultrasound, 86 Clinical Brach, 81 Hospital of PLA, Dangtu, Anhui 243100, China
关键词:
子宫肌瘤硬化剂聚桂醇无水乙醇超声引导
Keywords:
hysteromyoma sclerosant lauromacrogol absolute ethyl alcohol ultrasonic inducing injection
分类号:
R445.1;R737.33
DOI:
10.3969/j.issn.1672-271X.2015.02.015
文献标志码:
A
摘要:
目的 比较超声引导下瘤内注射无水乙醇或聚桂醇治疗子宫肌瘤的疗效。方法 子宫肌瘤63例,30例采用超声引导下瘤内注射无水乙醇(乙醇组),33例采用超声引导下瘤内注射聚桂醇(聚桂醇组)。术后及3个月内随访,观察疗效及并发症。结果 治疗后3个月,乙醇组、聚桂醇组体积平均缩小率分别为23.54%、22.89%,彩色多普勒血流显像示肌瘤内血流均明显减少,两组体积缩小率无明显差异(P>0.05),但术后并发症聚桂醇组明显少于乙醇组(P<0.05)。结论 超声引导下瘤内注射聚桂醇治疗子宫肌瘤疗效确切,相比瘤内注射无水乙醇更安全,不良反应少,值得临床推广。
Abstract:
Objective To observe and compare the curative effect of ultrasonic inducing inter-tumor injection of lauromacrogol to absolute ethyl alcohol. Methods 63 cases of hysteromyoma were divided into two groups which are alcohol group of 30 cases (treated with ultrasonic inducing inter-tumor injection of absolute ethyl alcohol) and lauromacrogol group of 33 cases (treated with ultrasonic inducing inter-tumor injection of lauromacrogol). Curative effects and complications will be observed by Flup during 3 months after the operation. Results 3 months after the operation, the tumor volume of alcohol group and lauromacrogol group was reduced to 23.54% and 22.89% respectively and the color Doppler blood flow showed that the blood flow was decreased markedly. No obvious disparity was shown on volume reduction ration between alcohol group and lauromacrogol group (P>0.05), while lauromacrogol had much less complications (P<0.05). Conclusion With less side effect and better security, ultrasonic inducing inter-tumor injection of lauromacrogol on hysteromyoma has definite curative effect and is worth being popularized.

参考文献/References:

[1]周翠玉.瘤内注射无水乙醇治疗子宫肌瘤的临床研究[J].实用妇产科杂志,2006,22(3):169-170.
[2]王联欢,潘 农.超声引导瘤内注射无水乙醇治疗子宫肌瘤的临床观察[J].浙江中医药大学学报,2008,32(2):184-185.
[3]王锡斌.超声引导穿刺注射无水乙醇治疗子宫肌瘤[J].中国介入影像与治疗学,2009,6(1):356-358.
[4]周家琦.彩超引导下注入无水乙醇治疗子宫肌瘤的初步研究[J].齐齐哈尔医学院学报,2012,33(12):1614.
[5]杨欲晓,成 佳,杨宏亮,等.不同距离目标三维超声容积自动测量技术准确性的实验研究[J].东南国防医药,2014,16(2):124-127.
[6]李发兵,成 佳,杨宏亮,等.超声引导盆腔介入手术并发症诊断治疗及预防体会[J].医药前沿,2013,3(26):81-82.
[7]张 坚,骆文香,于 琴,等.射频消融术治疗子宫肌瘤165例疗效观察[J].东南国防医药,2010,12(6):509-511.
[8]孙 军,谢阳桂,于 秀,等.超声引导微波治疗子宫肌瘤的临床研究[J].交通医学,2010,24(4):361-368.
[9]徐 涛,秦秀朵,司圆圆,等.高强度聚焦超声治疗子宫肌瘤临床研究[J].东南国防医药,2012,14(4):325-327.
[10]吴超英,李 咏,赵丹梅,等.开腹与腹腔镜多发性子宫肌瘤剔除术临床疗效分析[J].东南国防医药,2014,16(3):278-280.
[11]施晓君,金秀凤,黄凤雁.子宫动脉栓塞联合宫腔镜治疗巨大子宫黏膜下肌瘤36例临床分析[J].实用妇产科杂志,2014,30(4):303-305.
[12]谢红宁,车艳玲,刘 杰,等.超声引导下瘤内无水乙醇注射治疗子宫肌瘤的初步研究[J].中国实用妇科和产科杂志,2006,16(4):225-226.
[13]尹 明,王中阳.超声介入聚桂醇硬化治疗肝肾囊肿疗效研究[J].中华医学超声杂志(电子版),2013,10(8):619-621.
[14]倪雪娟,谢阳桂,吴 超,等.超声引导下瘤内注射聚桂醇治疗子宫肌瘤的临床研究[J].南通大学学报,2012,32(5):414-416.
[15]许小平,金爱萍,姜 琴.超声引导下注射无水乙醇治疗子宫肌瘤不良反应的观察及处理[J].交通医学,2011,25(1):102-103.
[16]余远松.2种硬化剂在单纯性肝肾囊肿硬化治疗中的对比研究[J].中国中西医结合影像学杂志,2011,9(3):233-235.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2015-03-20