重庆医学Issue(21)：2722-2724,3.DOI:10.3969/j.issn.1671-8348.2014.21.012
超声造影评价高强度聚焦超声治疗子宫腺肌病效果
Evaluation of contrast-enhanced ultrasound in treatment of ultrasound-guided high intensity focused ultrasound ablation for uterine adenomyosis
秦瑞英 1王艳敏 1华彩虹 1王世进 1侯瑞杰 1郭会敏1
作者信息
- 1. 新乡医学院第一附属医院妇产科海扶治疗室，河南卫辉453100
- 折叠
摘要
Abstract
Objective To evaluate the effect of contrast-enhanced ultrasound(CEUS) in the real-time monitoring treatment of ultrasound-guided high intensity focused ultrasound (HIFU ) for uterine adenomyosis .Methods From January 2013 to September 2013 ,a total of 67 patients who were clinically diagnosticated as uterine adenomyosis were enrolled in this study .49 patients were diffuse type and 18 patients were localized .CEUS was used before ,in ,after ultrasonic treatment to make sure lesions and evaluate the ablation effect .Results 67 patients were 100% perfused before HIFU treatment by CEUS ,the non-perfused volume ratio of 15 patients(22 .4% ) were not enough during treatment ,and more energy were given .During HIFU treatment ,uniform grey scale change was observed in 42 of 67(62 .7% ) patients and massive grey scale change was observed in 25 of 67(37 .3% ) patients .The margin of targets and the non-perfused volume were clearly detected by CEUS .The size of target andymyosis ,the volume ,the non-perfused volume ,and non-perfused volume ratio were(4 .8 ± 1 .5)cm ,(63 .1 ± 57 .2)cm3 ,(59 .1 ± 53 .4 )cm3 ,(76 .4 ± 27 .0)% .The adverse effects occurred in the treatment were not related to CEUS .Conclusion CEUS is an accurate method in assessing the treat-ment effect of HIFU and could be safely used during HIFU treatment for uterine adenomyosis .关键词
高强度聚焦超声消融/子宫腺肌/超声造影Key words
high intensity focused ultrasound/uterine adenomyosis/contrast-enhanced ultrasound分类
医药卫生引用本文复制引用
秦瑞英,王艳敏,华彩虹,王世进,侯瑞杰,郭会敏..超声造影评价高强度聚焦超声治疗子宫腺肌病效果[J].重庆医学,2014,(21):2722-2724,3.
