聚焦超声治疗外阴白色病变临床研究  

Clinical study in treatment of leukoplakia vulvae with high-intensity focused ultrasound

作　　者：焦鲁霞[1] 宋磊[1] 李冬平[1] 

机构地区：[1]解放军总医院,北京100853

出　　处：《解放军医学杂志》2004年第12期1086-1087,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：目的　研究聚焦超声治疗外阴白色病变的可行性。方法　对 6 5例外阴白色病变患者实施了聚焦超声治疗。与此同时 ,对每一例患者进行严密随访与定期复查。观察治疗前后不同时期病变组织的病理变化 (皮肤的颜色及弹性是否恢复正常 ,粘连是否得到松解) ,患者的主观感受 (瘙痒、灼痛等其他不适症状是否减轻或消失 ) ,并对并发症进行治疗、处理。结果　所有患者的病变都得到了不同程度的缓解与恢复 ,有效率达 10 0 %。其中 2 8例痊愈(43 0 8% ) ,2 9例显效(44 6 2 % ) ,8例好转(12 4 6 % )。 5例患者于治疗后 2～3个月局部小范围病灶复发 ,再次治疗后依然有效。结论　聚焦超声是当前治疗外阴白色病变的一种行之有效的新方法 ,该方法不仅能够彻底根除外阴顽固性瘙痒等症状 ,还可恢复外阴皮肤的颜色与弹性 ,值得在临床上进一步推广应用。Objective To evaluate the feasibility and efficacy of treatment of leukoplakia vulvae with high-intensity focused ultrasound. Methods 65 patients with leukoplakia of the vulva were treated with high-intensity focused ultrasound. The patients were followed up after the treatment, and the symptoms including itch of the vulva, color change, the elasticity of the vulva lesions, and release of adhesions were observed and evaluated at the different times after treatment. Result All of the patients experienced relief in different degree (the ratio of effectiveness was 100%). Of them 28 patients were complete cured, 29 were distinctly improved, 8 were improved. In 5 patients there was a recrudescence with mild itch 2-3 months after treatment, but there was still a positive response to the second course of treatment. Conclusions High-intensity focused ultrasound is a highly effective instrument in the treatment of leukoplakia of the vulva. The treatment not only stops itch, but enables the color and elasticity of the vulva to recover as well.

关 键 词：超声治疗 外阴白色病变 疗效 

分 类 号：R711.72[医药卫生—妇产科学]