高强度聚焦超声治疗子宫小肌瘤疗效分析

Analyse the efficacy in the near future and the measures of improvement for high intensity focused ultrasound in the treatment of little uterine leiomyomas

目的分析高强度聚焦超声(HIFU)治疗子宫小肌瘤近期疗效及改进方法。方法在彩色多普勒超声定位下,应用FEP-BY02型高强度聚焦超声治疗系统对68例子宫肌瘤(10mm×10mm～40mm×40mm)患者进行治疗,治疗后定期彩超随访观察瘤体影像学变化及临床症状改善情况。结果效果显著48例,其中16例肌瘤消失;有效或部分有效20例,其中复发3例。结论 HIFU治疗子宫小肌瘤近期疗效好,安全、不良反应小,但需要改进方法,以达到远期无复发。

Objective To probe the efficacy in the near future and measures of amelioration for high intensity focused ultrasound（HIFU） in the treatment of little uterine leiomyomas.Methods To guide the location of the focal field and monitor the ablating procedure by color Doppler ultrasound,68 cases of sufferers with little uterine leiomyomas（10mm×10mm^40mm×40mm） were admitted for the therapy with HIFU.After treatment,the amelioration of linical symptoms and ultrasonographic changes were observed and evaluated periodically.Results Among 68 cases,48 cases achieved sigificant curative effect,20 cases achieved moderate or mild curative effect;Little uterine leiomyomas disappeared for 16 cases of sufferers,and recurred for 3 cases.Conclusion treatment of little uterine leiomyomas by HIFU is safe、effective and mild side-effect.But it needs to improve the measures of the therapy with HIFU for the aim of no-recrudescence at a specified future date.