聚集超声消融治疗子宫肌瘤的优势及MRI在治疗中的应用  

The Advantages of Focused Ultrasound Ablation for Uterine Fibroids and the Use of MRI in Management

作　　者：岳文静 班允清[1] 

机构地区：[1]新疆医科大学第五附属医院影像中心,新疆 乌鲁木齐

出　　处：《临床医学进展》2024年第2期4281-4287,共7页Advances in Clinical Medicine

摘　　要：子宫肌瘤在育龄期妇女中极为普遍,它不仅能导致阴道异常出血,还可能引发多种生殖系统疾病,严重影响患者的健康。高强度聚焦超声(high-intensity focused ultrasound, HIFU)是一种微无创手术,具有无创和保留子宫的优势,为育龄期女性提供了一种新的选择。然而HIFU术后远期再干预率高,具有复发风险,利用磁共振成像(Magnetic resonance imaging, MRI)能有效评估HIFU消融子宫肌瘤的有效性和安全性,可用于术前安全性评估和疗效预测、术中监测、术后疗效评估以及术后再干预和局部复发方面。本文就近年来磁共振在HIFU治疗子宫肌瘤方面的研究进展进行综述。Uterine fibroids are extremely prevalent in women of reproductive age, and it not only causes ab-normal vaginal bleeding, but may also trigger a variety of reproductive diseases, which seriously affect patients’ health. High intensity focused ultrasound (HIFU) is a micro noninvasive procedure with the advantages of being noninvasive and preserving the uterus, providing a new option for women of reproductive age. However, HIFU has a high rate of long-term re-intervention and carries a risk of recurrence, and the use of magnetic resonance imaging (MRI) to effectively assess the efficacy and safety of HIFU ablation of uterine fibroids can be used for preoperative safety assess-ment and efficacy prediction, intraoperative monitoring, postoperative efficacy assessment, and postoperative re-intervention and local recurrence. In this article, the recent progress of magnetic resonance in the treatment of uterine fibroids with HIFU is reviewed.

关 键 词：磁共振成像 子宫肌瘤 高强度聚集超声 

分 类 号：R73[医药卫生—肿瘤]