聚焦超声阻断供血动脉治疗子宫肌瘤术后5年随访分析  

Follow up Analysis of 5 Years after Operation of Uterine Artery Myoma Treated with Focused Ultrasound Occlusion

作　　者：陈迎祯[1] 吴曙军[1] 伏钢[1] CHEN Ying-zhen;WU Shu-jun;FU Gang(Department of Ultrasound,Wuxi Second People＇s Hospital,Wuxi,Jiangsu,214002)

机构地区：[1]无锡市第二人民医院超声科,江苏无锡214002

出　　处：《智慧健康》2018年第22期39-40,43,共3页Smart Healthcare

摘　　要：目的了解高强度聚焦超声阻断肌瘤供血动脉治疗的远期预后。方法对2011年11月至2013年6月于无锡市第二人民医院接受高强度聚焦超声阻断供血动脉治疗的62例子宫肌瘤患者进行为期5年的随访,通过电话随访及对部分患者二维超声及彩色多普勒超声随访观察,了解患者术后子宫情况,对患者生活质量进行评估。结果术后2年,12例患者因肌瘤再次增大、临床症状重新出现或子宫肌瘤多发行子宫肌瘤剥除或子宫切除术,29例患者肌瘤有不同程度增大,与治疗后6个月相比,有统计学意义(P<0.05)。术后5年,共有27例患者接受了二次手术,10例患者肌瘤增大,但增大不明显,与术后6个月相比无统计学意义(P>0.05)。8例患者肌瘤无明显变化,8例患者子宫肌瘤转为多发,因肌瘤不大,子宫增大不明显或已近绝经期未进行治疗,11例患者已进入绝经期,肌瘤较前缩小。结论高强度聚焦超声阻断供血动脉治疗子宫肌瘤再次手术率较高,远期预后欠佳。Objective To investigate the long-term prognosis of high intensity focused ultrasound（HIFU） in the treatment of myoma blood supply artery. Methods 62 cases of uterine myoma were followed up for 5 years from November 2011 to June 2013 in Wuxi People’s Hospital with high intensity focused ultrasound interruption of blood supply artery,the patients were followed up by telephone and two-dimensional ultrasound and color Doppler ultrasound,to understand the condition of the uterus after operation and evaluate the quality of life of the patients.Results 2 years after operation, 12 patients underwent hysteromyomectomy or hysterectomy due to the enlargement of fibroids, the recurrence of clinical symptoms or multiple uterine fibroids,the myoma of the 29 patients was increased in varying degrees,compared with 6 months after treatment, there was statistical significance（P〈 0.05）. After 5 years, 27 patients underwent two operations,in 10 cases, the myoma increased, but the increase was not obvious, there was no statistical significance compared with 6 months after the operation（P〉 0.05）. There were no significant changes in 8 cases of myoma, 8 cases of uterine fibroids turned to multiple,because of the fibroids are not large, the uterine enlargement is not obvious or near menopause has not been treated,11 patients had entered the menopause, and the fibroids were smaller than before. Conclusion High intensity focused ultrasound occlusion of blood supply artery for treatment of uterine fibroids has a higher reoperation rate and poor long-term prognosis.

关 键 词：高强度聚焦超声 子宫肌瘤 远期疗效 随访 

分 类 号：R737.33[医药卫生—肿瘤]