高强度聚焦超声消融治疗宫腺肌症时病灶出现不同灰度图像变化的意义探讨

The significance of different gray scale image changes was discussed when the high intensity focused ultrasonic ablation was treated

目的探讨高强度聚焦超声消融治疗宫腺肌症时病灶出现不同灰度图像变化的意义。方法选择我院收治的93例子宫腺肌症患者作为观察对象，收治时间为2015年6月至2017年1月，对93例子宫腺肌症患者实施高强度聚焦超声消融治疗，根据患者病灶图像灰度变化的不同将患者分为整体灰度变化组及团状灰度变化组两组，例数分别为45及48例，观察两组患者的辐照时间、不良反应发生率、辐照剂量、消融率等的差异。结果两组子宫腺肌症患者之间对比的辐照时间及辐照剂量差异有统计学意义（P〈O．05）；但两组之间的消融率、不良反应发生率之间差异无统计学意义（P〉0．05）。结论高强度聚焦超声消融治疗子宫腺肌症的临床疗效较为显著，高强度聚焦超声无创疗法治疗子宫腺肌症安全有效，其临床疗效与团块状灰度变化持续时间及消融率密切相关。

Objective To discuss the significance of different gray image changes in the focal point of the disease in the treat- ment of the disease. Methods Choose 93 cases of uterine adenomyosis patients of our hospital as research object,the treating time is on June 6,2015 to January 2017,93 patients with uterine adenomyosis implementation of high intensity focused ultrasound abla- tion, depending on the patients with lesions image grayscale change divided the patients into the overall variance and clumps of gray level change group two groups, the number of cases respectively, 45 and 48 cases, observe the two groups of patients with irradiation time,the incidence of adverse reactions,irradiation dose,the differences between the ablation rate and so on. Results There was a significant difference between the irradiation time and irradiation dose of the two groups of uterine glands （P〈0.05）, which was statistically significant. But the difference between the rate of ablation between the two groups and the incidence of adverse reactions was not obvious （P〉0, 05） ,and the statistical significance was insignificant. Conclusion High intensity focused ultrasound abla- tion for the treatment of uterine adenomyosis clinical curative effect is significant, high intensity focused ultrasound noninvasive therapy in the treatment of uterine adenomyosis is safe and effective,its clinical curative effect and crumb gra yscale change is close- ly related to the duration and melting rate.