聚焦超声波治疗女性外阴炎性疾病的疗效  

The curative effect of HIFU on patients with vulvar intraepithelial nonneoplasia

作　　者：提松梅[1] 韩燕[1] 尹格平[1] 

机构地区：[1]济南军区总医院妇科,250031

出　　处：《中国妇产科临床杂志》2011年第1期29-31,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的探讨高强度聚焦超声治疗(HIFU)女性外阴炎性疾病(单纯外阴瘙痒症和外阴上皮内非瘤样病变)的疗效。方法应用高强度超声治疗仪对142例单纯外阴瘙痒症、267例不同病理类型外阴上皮内非瘤样病变(141例硬化苔藓和126例鳞状上皮细胞增生),规范了对不同疾病的治疗方法以及疗效判别标准。结果本方法对单纯外阴瘙痒症组两次治疗后总有效率为90.4%;对外阴上皮内非瘤样病变4次治疗后,病变区皮肤面积由(14.26±4.79)cm2减少至(3.83±2.04)cm2,差异有统计学意义(P<0.01),其中对硬化苔藓型明显有效率为94.8%,对鳞状上皮细胞增生型患者明显有效率为92.0%。结论本组显示HIFU可使瘙痒症状显著减轻,外阴白色病变面积逐渐减少,并具有简便、无痛和安全无创等优点。Objective o investigate the curative effect of HIFU for no-specific vulvitis（simple pruritus of vulva.SPV） and vulvar intraepithelial nonneoplasia （VINN）.Methods One hundred and forty-two patients with SPV,two hundred and sixth-seven patients with VINN （141 cases with lichen sclerosus of vulva and 126 cases with squamous hyperplasia of vulva.）were treated by the HIFU programs.Results The overall effective rate was 90.4% for SPV by two times of HIFU,84.8% for lichen sclerosus of vulva and 92.0% for squamous hyperplasia of vulva by four times of HIFU therapy. The lesion area of VINN decreased from （14.26±4.79）cm2to（3.83±2.04）cm2（P0.01）.Conclusion HIFU is a simple,safe,effective and repeatable therapy method for SPV and VINN.

关 键 词：高强度聚焦超声 微创技术 外阴上皮内非瘤样病变 

分 类 号：R711.31[医药卫生—妇产科学]