摘要
目的探讨灰阶超声造影(CEUS)在子宫肌瘤自凝刀射频消融治疗中的应用价值。方法超声导向经阴道自凝刀射频消融(RFA)治疗前分别对59例已育妇女71个子宫肌瘤(其中肌壁间肌瘤22个,黏膜下肌瘤49个)行常规超声及CEUS检查,RFA治疗后即刻行CEUS检查来评判消融效果,部分带蒂黏膜下肌瘤消融后随即取出送病理。治疗后于3,6,12月常规超声观察肌瘤体积变化、血供及患者临床症状改善情况。结果术前行CEUS检查71个病灶均符合子宫肌瘤"周边网状增强型"的造影增强模式;RFA术后即刻病灶CEUS表现为"缺损型"造影增强模式。RFA术后3,6,12月肌瘤平均体积明显缩小,差别有统计学意义。结论 RFA术前、术后即刻CEUS的应用,严格掌握手术适应症有助于提高RFA治疗子宫肌瘤的疗效。
Objective To explore the clinical value of contrast-enhanced ultrasound(CEUS) in the treatment of uterine myoma with radiofrequency ablation (RFA ) . Methods 59 patients with 71 uterine myoma (22 intramural fibroids and 49 submucosal fibroids) were examinated by routine ultrasound and CEUS before RFA . CEUS was performed immediately after the RFA treatment to assess the efficacy , and partially pedunculated submucosal fibroids were removed and sent for pathological analysis right after the ablation . 3 ,6 and 12 months after the treatment ,the volumes and blood flow s of the fibroids and changes of clinical symptom were evaluated . Results The enhancement patterns of all tumors were pe-ripheral net pattern ,while after RFA lesions were un-enhanced with CEUS . 3 ,6 and 12 months after the RFA treatment ,the average volumes of fibroids significantly became smaller ,and the difference was of statistic significance . Conclusion CEUS applicated preoperatively and postoperatively can improve the efficacy in the treatment of uterine myoma with RFA .
出处
《福建医科大学学报》
2013年第3期184-186,共3页
Journal of Fujian Medical University
基金
福建省卫生厅青年科研课题(2007-2-30)
关键词
导管消融术
平滑肌瘤
生殖器
肿瘤
子宫肿瘤
超声检查
造影剂
catheter ablation
leiomyoma
genitalia
neoplasms
uterine neoplasms
ultrasonography
contrast media
