高强度聚焦超声消融治疗直径小于4cm子宫肌瘤的远期随访  

Long term follow-up of high intensity focused ultrasound in the treatment of uterine fibroids with diameter less than 4 cm

作　　者：吴琳[1] 万丽丽[1] 刘晓芳[1] 何佳[1] 

机构地区：[1]四川省遂宁市中心医院妇产科,629000

出　　处：《重庆医学》2015年第31期4389-4391,4395,共4页Chongqing medicine

摘　　要：目的探讨高强度聚焦超声(HIFU)消融治疗子宫肌瘤(<4cm)的安全性、有效性。方法回顾性研究2011年1月至2013年2月在该院经HIFU治疗的79例单发肌瘤患者,评价其治疗后症状改善情况、肌瘤远期缩小情况及相关不良反应。结果 79例子宫肌瘤患者均顺利完成治疗。与治疗前比较,治疗后2年肌瘤缩小率为79.0%(四分位间距:57.9%,92.1%);患者治疗后症状严重程度(SSS)评分及肌瘤症状与健康相关生活质量问卷(UFS-QOL)评分较治疗前显著改善;无严重不良反应发生。结论 HIFU可以安全用于直径小于4cm的子宫肌瘤治疗。Objective To investigate the safety and effectiveness of high intensity focused ultrasound （HIFU） in the treatment of uterine fibroid （〈4 cm）, Methods Retrospectively studied 79 single fibroid （〈4 cm） patients that treated with HIFU in our hospital from January 2011 to February 2013. Evaluated the improvement of post-treatment, shrinkage of fibroid volume and HIFU-related adverse reaction. Results All the 79 patients were successfully cured by HIFU treatment. The shrinkage rate of fibroid was 79.0% （four point spacing 57.9%, 92.1 %） after 2-year treatment; Symptom severity score （SSS） and uterine fibroid symptom and quality of life score （UFS-QOL） were significantly improved;and there was no adverse reaction. Conclusion HIFU can be safely used in the treatment of small uterine fibroids（diameter〈4 cm）.

关 键 词：高强度聚焦超声 小子宫肌瘤 吸收率 

分 类 号：R737.33[医药卫生—肿瘤]