影响聚焦超声治疗子宫腺肌病消融率的相关因素初步分析.pdfVIP

·82· 中华临床医师杂志(电子版)2015 年 5 月第 9 卷第 10 期 Chin J Clinicians(Electronic Edition),May 15,2015,Vol.9,No.10 ·临床论著· 影响聚焦超声治疗子宫腺肌病消融率的 相关因素初步分析 崔杰 1 许永华 1,2 田绍创 1 李欣 1 【摘要】 目的 探讨影响高强度聚焦超声（HIFU）治疗子宫腺肌病病灶消融率的因素。方法 回 顾性分析 2012 年 4 月至 2014 年 4 月 30 例经 HIFU 治疗的子宫腺肌病患者的病灶消融率及其影响因 素，根据患者年龄、子宫位置、病灶位置、病灶弥散程度、病灶的 MRI 信号强度等进行分组，术后 1 周内通过增强 MRI 进行病灶消融率评估。分析年龄、子宫位置、病灶位置、病灶弥散程度、病灶 MRI 信号强度等因素对消融率的影响。结果 HIFU 治疗子宫腺肌病后显示子宫底病灶和后壁病灶 的平均消融率均小于前壁病灶的平均消融率（P＜0.05）；超声治疗强度越大，平均消融率越大（P＜0.05）。 结论 子宫腺肌症病灶位置和超声治疗强度对聚焦超声消融率有一定影响。 【关键词】 高强度聚焦超声消融； 子宫腺肌病； 消融率 Analysis of the factors influencing the ablation rate of adenomyosis by using high intensity focused ultrasound Cui Jie1, Xu Yonghua1,2, Tian Shaochuang1, Li Xin1. 1College of Biomedical Engineering, Chongqing Medical University, Chongqing 400016, China; 2Department of Radiology, Shanghai Xuhui Central Hospital/Shanghai Clinical Center, China Academy of Sciences, Shanghai 200031, China Corresponding author: Xu Yonghua, Email: yhxu@scrc.ac.cn 【Abstract】 Objective To investigate the influencing factors of ablation rate of high intensity focused ultrasound (HIFU) for adenomyosis. Methods Between April 2012 and April 2014, a total of 30 patients received ultrasound ablation with sedation for adenomyosis, retrospective analysis of ablation rate of lesion and its influencing factors was done, which was grouped according to patients age, uterine position, lesion location, lesion degree of dispersion and MRI signal intensity of lesion. Ablation rate of the adenomyos is at 1 week after HIFU were evaluated by contrast-enhanced MRI scan, the relationships between the ablation rate of the adenomyosis and age, uterus position, lesion location, lesion degree of