超声引导下射频消融治疗腹壁子宫内膜异位症  

Ultrasound-guided radiofrequency ablation for abdominal wall endometriosis

作　　者：杜琳瑶 孙永杰 任双颂 闻茹 车颖[1] DU Linyao;SUN Yongjie;REN Shuangsong;WEN Ru;CHE Ying(Department of Ultrasound,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;Department of Obstetrics and Gynecology Ultrasound,Women and Children's Hospital of Qingdao,Qingdao 266034,China)

机构地区：[1]大连医科大学附属第一医院超声科,辽宁大连116011 [2]青岛市妇女儿童医院妇产超声科,山东青岛266034

出　　处：《中国介入影像与治疗学》2022年第9期548-551,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：辽宁省中央引导地方科技发展资金计划项目(2021JH6/10500158)。

摘　　要：目的观察超声引导下射频消融(RFA)治疗腹壁子宫内膜异位症(AWE)的有效性及安全性。方法回顾性分析11例接受RFA治疗及其后1、3、6、9和12个月超声随访的AWE患者,观察病灶体积及血流分布情况,记录视觉模拟量表(VAS)评估痛经程度结果;计算各时间点病灶体积相比消融前缩小比例及痛经减轻程度,观察不良反应并评价其国际介入放射学会(SIR)分级。结果RFA后1、3、6、9及12个月,AWE病灶分别较术前缩小(35.98±9.25)%、(82.42±10.98)%、(97.78±2.97)%、(99.61±0.88)%及100%,患者痛经VAS评分逐渐降低(P均<0.05)。1例术后出现皮肤热痛、轻微水肿,1天未经处理自行恢复(SIR B级);未见其他相关不良反应。结论超声引导下RFA治疗AWE安全、有效。Objective To observe the efficacy and safety of ultrasound-guided radiofrequency ablation(RFA)for treating abdominal wall endometriosis(AWE).Methods Data of 11 AWE patients who underwent RFA and were followed up 1,3,6,9 and 12 months after RFA with ultrasound were analyzed retrospectively.The volume and distribution of blood flow of AWE lesions were assessed,and the degrees of dysmenorrhea evaluated using visual analogue scale(VAS)were recorded.The changes of lesion volume and degrees of dysmenorrhea after RFA were compared with those before treatment.Adverse reactions of RFA were observed and graded with the method of international Society of Interventional Radiology(SIR).Results At 1,3,6,9 and 12 months after RFA,both the lesion volume and patients'VAS of dysmenorrhea decreased gradually compared with those before treatment(all P<0.05),with the volume reduction rate of(35.98±9.25)%,(82.42±10.98)%,(97.78±2.97)%,(99.61±0.88)%and 100%,respectively.Postoperative skin heat pain and slight edema occurred in 1 case,and the patient recovered spontaneously 1 day later without management(SIR B).No other adverse reaction happened.Conclusion Ultrasound-guided RFA was safe and effective for treating AWE.

关 键 词：腹壁 子宫内膜异位症 超声检查 射频消融 

分 类 号：R711.71[医药卫生—妇产科学] R445.1[医药卫生—临床医学]