高强度聚焦超声对有生育需求的富血供子宫肌瘤患者的应用分析  

Application analysis of high intensity focused ultrasound in patients with vascular uterine fibroids with fertility needs

作　　者：吴艳[1] WU Yan(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院妇产科,江西赣州341000

出　　处：《中国当代医药》2023年第26期109-112,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310752)。

摘　　要：目的探究高强度聚焦超声对有生育需求的富血供子宫肌瘤患者的临床应用。方法回顾性选取2020年2月至2022年2月赣南医学院第一附属医院妇产科住院的116例有生育需求的富血供子宫肌瘤患者为研究对象,采用高强度聚焦超声治疗的53例患者分为研究组,采用腹腔镜肌瘤剔除术治疗的63例患者分为对照组,比较两组患者术前术后影像学疗效评价、子宫肌瘤症状评分(UFS)及术后1年妊娠率及不良妊娠结局发生情况。结果两组术后3个月的影像学疗效总有效率比较,差异无统计学意义(P>0.05);两组患者术后的UFS比较,差异无统计学意义(P>0.05);研究组术后1年妊娠率高于对照组,差异有统计学意义(P<0.05),两组术后1年不良妊娠结局发生率比较,差异无统计学意义(P>0.05);研究组手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。结论高强度聚焦超声治疗富血供子宫肌瘤疗效确切,其影像学疗效与腹腔镜剔除术相似,在缩短患者住院时间、促进患者康复、提高患者早期妊娠率方面较腹腔镜剔除术更有优势,对生育需求的患者有重要意义。Objective To explore the clinical application of high intensity focused ultrasound in patients with blood rich uterine fibroids who have reproductive needs.Methods From February 2020 to February 2022,116 patients with blood rich uterine fibroids who had reproductive needs and were hospitalized in the First Affiliated Hospital of Gannan Medical College Obstetrics and Gynecology were retrospectively selected as the study subjects.A total of 53 patients treated with high intensity focused ultrasound were divided into the study group,and 63 patients treated with laparoscopic myomectomy were divided into the control group.The preoperative and postoperative imaging effects of the two groups were compared Uterine fibroid symptom score(UFS),1-year pregnancy rate,and adverse pregnancy outcomes.Results There was no significant difference between the two groups in the effectiveness of imaging at 3 months after surgery(P>0.05).There was no statistically significant difference in UFS after surgery between the two groups(P>0.05).The 1-year pregnancy rate in the study group was higher than that in the control group,with a statistically significant difference(P<0.05),and there was no statistically significant difference in the incidence of adverse pregnancy outcomes between the two groups at 1 year after surgery(P>0.05).The operative time and hospital stay in the study group were shorter than those in the control group,with statistically significant differences(P<0.05).Conclusion High intensity focused ultrasound is effective in the treatment of uterine fibroids with rich blood supply,and its imaging efficacy is similar to that of laparoscopic myomectomy.Compared with laparoscopic myomectomy,it has more advantages in shortening the hospitalization time of patients,promoting their recovery,and improving the early pregnancy rate of patients.It is of great significance for patients with reproductive needs.

关 键 词：高强度聚焦超声 富血供子宫肌瘤 肌瘤剔除术 妊娠结局 

分 类 号：R737.33[医药卫生—肿瘤]