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目的分析讨论超声造影在子宫肌瘤HIFU术实时疗效评价中的价值。方法 2014年1月至2015年12月期间,我院接收子宫肌瘤患者共计33例,均接受高强度聚焦超声(HIFU)治疗,期间应用超声造影对子宫肌瘤的消融进度进行实时监测。结果治疗6个月后,超声造影检查结果显示,33例患者的子宫肌瘤平均体积为(29.6±8.94)立方厘米;术后,25例患者造影检查显示完全消融,半年后复查未见复发肿瘤组织,8例患者部分消融,半年后复查见5例患者复见肿瘤组织,3例患者肿瘤增大。结论对于接受高强度聚焦超声(HIFU)治疗的患者,临床应用超声造影进行围治疗期的实时监测,有效判断治疗进展及预后。
Objective To analyze and discuss the value of contrast-enhanced ultrasound in the evaluation of real-time efficacy of HIFU in uterine fibroids. Methods From January 2014 to December 2015, a total of 33 patients with uterine fibroids in our hospital were treated with high intensity focused ultrasound (HIFU), during which the progress of ablation of uterine fibroids was monitored by ultrasound contrast. Results After 6 months of treatment, CEUS showed that the average volume of uterine fibroids in 33 patients was (29.6 ± 8.94) cm 3. The postoperative radiography showed complete ablation in 25 patients and no recurrence after 6 months Tissue, 8 patients partial ablation, review after six months to see 5 patients with tumor tissue, 3 patients with tumor enlargement. Conclusions For patients undergoing high intensity focused ultrasound (HIFU) therapy, real-time monitoring of peri-therapy period with ultrasound contrast is used clinically to judge the treatment progress and prognosis effectively.