高强度聚焦超声对慢性盆腔疼痛的治疗效果  

The role of high intensity focused ultrasound in the treatment of chronic pelvic pain

作　　者：汪芳[1] 石珍[1] 熊礼生[1] 陈捷[1] 邓林云[1] 

机构地区：[1]南昌大学第一附属医院HIFU治疗室,江西南昌330006

出　　处：《中国妇幼保健》2008年第31期4482-4483,共2页Maternal and Child Health Care of China

基　　金：江西省卫生厅资助项目(051074);江西省科技厅资助项目(S-6-A)

摘　　要：目的：观察高强度聚焦超声治疗慢性盆腔疼痛的临床疗效。方法：30例妇科慢性盆腔疼痛患者用高强度聚焦超声对骶前神经进行热辐照治疗，子宫腺肌症还对子宫局部病灶进行热辐照治疗，治疗后随访观察1～18个月。结果：治疗后12个月疼痛基本缓解，B超显示局部病灶回声增强，血流消失，瘤体缩小约3cm。有3例病人治疗后出现轻度下腹痛、尿频及便秘等症状，1个月内完全消失，其余病人均未见明显副反应。结论：HIFU治疗时无创伤、无副作用，是治疗妇科慢性盆腔疼痛的一种安全、有效方法。Objective： To investigate the clinical effect of high intensity focused ultrasound （HIFU） in the treatment of chronic pelvic pain （CPP） . Methods： 30 patients with CPP were exposed to the heat radiaton focused at the presacral nerve using HIFU, and a extra radiation at the focus of the patients with adenomyoma of uterus, then follow - up study of 1 - 18 months after the treatment was carried out. Results： The pain were mostly relieved 12 months latter, Type - B ultrasound revealed that the location of focus with a enhanced echo, the flow disappeared, and the size of tumor decreased about 3 era. Some symptoms such as light hypogastralgia, frequent micturition and constipation were observed in 3 patients, but they were disappeared in 1 month, and no other obvious side reaction were shown. Conclusion： HIFU treatment is non - invasive and without obvious side effects, which is a safe and effective treatment for CPP.

关 键 词：高强度聚焦超声 盆腔痛 骶前神经 热辐照 

分 类 号：R57[医药卫生—消化系统]