HIFU治疗877例子宫良性病的不良反应分析

Analysis on untoward reactions of HIFU treatment in 877 cases of uterine benign disease

目的证实高强度聚焦超声(HIFU)在子宫良性病治疗中引起的不良反应较轻。方法通过对该院2014年9月至2016年5月成功接受HIFU治疗的877例子宫良性病患者进行追踪随访,总结分析术中及术后不良反应。结果归纳总结了不良反应的发生情况、处理措施及转归:不良反应中98%为国际介入放射学会(SIR)分级A^B级,不需特殊干预,在治疗后即刻至1周内完全恢复;2%为SIR C^D级,住院处理及护理后完全恢复;未出现SIR D级以上严重并发症。结论 HIFU能较为安全地应用于该子宫良性病的治疗中,可对临床上HIFU在子宫良性病的治疗提供一定的参考和借鉴。

Objective To confirm untoward reactions in uterine benign disease caused by the application of high intensity focused ultrasound（HIFU）is lighter.Methods Following-up 877 cases of patients with uterine benign disease who received HIFU treatment from September 2014 to May 2016 in Zigong Fourth People′s Hospital,the intra-and post-operative untoward reactions were summarized and analyzed.Results We summarized the occurrence of untoward reactions,treatment measures and prognosis：98% of untoward reactions were SIR A to B level,and fully recovered after treatment immediately to 1week without special intervention;2% of untoward reactions were SIR C to D,also fully recovered after hospital and nursing treatment;no serious complications（SIR D and above）occurred.Conclusion HIFU can be used in the treatment of uterine benign diseases in our hospital,which could provide references for the treatment of uterine benign diseases by using HIFU.