高强度聚焦超声治疗子宫肌瘤临床并发症分析

Analysis of clinical complications of high-intensity focused ultrasound in treatment of uterine fibroids

目的分析高强度聚焦超声治疗子宫肌瘤的不良反应及并发症,为其预后和防治提供依据。方法 60例接受HIFU治疗的子宫肌瘤患者,观察HIFU治疗术中、术后的局部并发症及全身反应。结果术后不良反应为腹部疼痛31例,皮肤损伤15例,阴道流血4例,骶尾部疼痛不适9例,其程度不重,对机体的影响轻微。结论 HIFU治疗子宫肌瘤具有一定的局部并发症,分析并发症的成因对HIFU治疗适应证选择及并发症的防治有一定意义。

Objective To analyze the adverse effect and complications of high intensity focused uhrasound （ HIFU ） in treatment of patients with uterine fibroids, and to provide the information for their prognosis and prevention. Methods Sixty patients with uterine fibroids were treated by HIFU, then partial complications and systematic reaction were observed during and after HIFU treatment. Results The main adverse reactions were abdominal pain （31/60 cases ） , skin lesions （ 15/60 cases ）, vaginal bleeding （4/60 eases）, eoceydynia and discomfort（ 9/60 cases ）, its extent was not serious, and had minor effect on body. Conclusion HIFU treatment of uterine fibroids has a certain amount of local complications. Analysis of the causes of complications has important value for HIFU treatment options and complications prevention.