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目的 探讨高强度聚焦超声 (high intensity focused ultrasound HIFU)治疗子宫肌瘤的安全性和有效性 ,评价彩色多普勒能量图 (CDE)对 HIFU治疗的疗效判断。方法 选择 86例子宫肌瘤患者 ,观察 HIFU治疗前后肌瘤的超声回声、肌瘤大小及临床症状变化 ,用 CDE对治疗前后肌瘤内部血流灌注对比观察。结果 治疗后肌瘤内部回声增强 ,血流信号减少 ,肌瘤缩小 ,临床症状改善 ,无严重副作用。结论 HIFU治疗子宫肌瘤安全、有效。CDE可客观评估子宫肌瘤血流灌注状态 ,有效评价 HIFU治疗的疗效 ,作为治疗后疗效判断是一项较好的检测指标。
Objective To investigate the safety and efficacy of high intensity focused ultrasound (HIFU) in the treatment of uterine fibroids and to evaluate the therapeutic effect of color Doppler energy imaging (CDE) on HIFU. Methods 86 cases of uterine fibroids were selected to observe the changes of echogenicity, fibroid size and clinical symptoms of fibroids before and after HIFU treatment. The intracranial perfusion of fibroids before and after treatment was compared with CDE. Results After treatment, the internal echogenicity of fibroids increased, blood flow signals decreased, myoma reduced, clinical symptoms improved, no serious side effects. Conclusion HIFU treatment of uterine fibroids safe and effective. CDE objective assessment of uterine fibroids perfusion state, the effective evaluation of the efficacy of HIFU treatment, as a judge after treatment efficacy is a better detection index.