彩超在子宫肌瘤子宫动脉栓塞治疗后疗效观察中的应用

Application of Color Doppler Ultrasonography in the Observation of Uterine Fibroids after Uterine Artery Embolization

目的分析子宫肌瘤子宫动脉栓塞治疗后应用彩超观察疗效的价值。方法选取2015年12月~2016年12月在本院诊治的98例子宫肌瘤患者临床资料,均行子宫动脉栓塞治疗,依肌瘤大小分成两组,分别为肌瘤≤5cm组(50例)、肌瘤5~8cm组(48例),并接受彩超检查,评价两组治疗后肌瘤体积变化及症状改善情况。结果肌瘤≤5cm、肌瘤5~8cm两组患者术后3、6、12个月的肌瘤体积均比术前缩小(P <0.05),且肌瘤≤5cm组患者的术后3、6、12个月的体积缩小率均比肌瘤5~8cm组的高(P <0.05);肌瘤≤5cm组的贫血改善率比肌瘤5~8cm组的高(P <0.05)。结论子宫肌瘤径长≤5cm经子宫动脉栓塞治疗的效果更佳,且彩超能良好的监测子宫动脉栓塞治疗效果。

Objective To analyze the value of color Doppler ultrasonography in the treatment of uterine fibroids after uterine artery embolization. Methods The clinical data of 98 patients with uterine fibroids who were treated in our hospital from December 2015 to December 2016 were selected. All patients underwent uterine artery embolization. They were divided into two groups according to the size of fibroids, which were fibroids ≤ 5 cm (50 cases), fibroid 5 ~ 8cm group (48 cases), and they received color Doppler ultrasound examination, the changes in fibroid volume and symptom improvement after treatment were evaluated. Results The fibroids volume of the patients with fibroids ≤ 5cm and fibroids 5 ~ 8cm were significantly smaller than those before operation (P < 0.05), and the volume reduction rate of 3, 6 and 12 months after uterine artery embolization of the patients with fibroids ≤ 5cm were higher than that of fibroid 5~8cm group (P < 0.05);the improvement rate of anemia of fibroid ≤ 5cm group was higher than that of fibroid 5~8cm group (P < 0.05). Conclusion Uterine fibroids with a diameter of ≤ 5cm are better for uterine artery embolization, and color ultrasound can monitor the effect of uterine artery embolization.