高强度聚焦超声治疗子宫肌瘤和子宫腺肌瘤的临床应用

目的 探讨高强度聚焦超声(HIFU)应用于临床治疗子宫肌瘤和子宫腺肌瘤的效果和安全性.方法 以子宫肌瘤和子宫腺肌瘤患者为研究对象,采用HIFUNIT-9000型超声聚焦肿瘤消融机实施治疗.观察治疗前后患者临床症状和瘤体超声回声、血流及大小的变化.结果 共治疗子宫肌瘤和子宫腺肌瘤患者116例,治疗瘤体共192个,其中肌瘤166个,腺肌瘤26个.治疗后82例患者各种症状得到改善;瘤体缩小,瘤体超声回声增强,血流减少.治疗效果总有效率94.2%,其中显效率53.8%.结论 HIFU治疗子宫肌瘤和子宫腺肌瘤效果明显,无创、安全.

Clinical application of high intensity focused ultrasound in treatment of hysteromyoma and endometrioma

Objective To explore the safety and effectiveness of high intensity focused ultrasound （HIFU） in treatment of hysteromyoma and endometrioma. Methods Patients with hysteromyoma and endometrioma were enrolled in this study, the HIFUNIT-9000 type ultrasonic focus on tumor ablation machine was applied for the treatment. The clinical symptoms and ultrasonic echo, blood flow and size of the lesions were observed before and after treatment. Results Treatment of hysteromyoma and endometrioma was performed in 116 cases, including 192 tumors, there were 166 of hysteromyoma and 26 of endometrioma. After the treatment, different kinds of symptoms were reduced in 82 patients, ultrasonic echo was increased, blood flow was reduced. Treatment effective rate was 94. 2%, significant efficiency was 53.8%. Conclusion HIFU is a non-invasive, safe and effective method in treatment of hysteromyoma and adenomyoma.