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目的 探讨 HIFU治疗子宫肌瘤的方法 ,了解其疗效。对超声在术中定位、监控与术后疗效判断中的应用进行评价。方法 对 15 3个子宫肌瘤行 HIFU治疗。治疗采取由深至浅逐层定位的方法。治疗时膀胱须充盈至全部覆盖靶目标。术中应用 B超定位与监控 ,术前定位及术后随访应用 CDFI。结果 治疗后肌瘤缩小 ,血流信号减少或消失。回声变化比较复杂 :可有回声增强、强弱不均匀、无明显变化三种表现。临床症状改善。结论 HIFU治疗子宫肌瘤只要方法得当 ,会取得满意的疗效。超声定位精确 ,可实时监控治疗 ,并能准确、客观地评价疗效。
Objective To explore the method of HIFU treatment of uterine fibroids to understand its efficacy. The application of ultrasound in intraoperative localization, monitoring and postoperative therapeutic evaluation was evaluated. Methods 15 3 hysteromyoma HIFU treatment. Treatment taken from deep to shallow layer by layer method. The bladder should be filled to fully cover the target during treatment. Intraoperative application of B-positioning and monitoring, preoperative positioning and postoperative follow-up application of CDFI. Results After treatment fibroids narrowed, blood flow signals decreased or disappeared. Echo changes more complicated: There may be enhanced echo, uneven strength, no significant changes in the three performance. Clinical symptoms improved. Conclusion HIFU treatment of uterine fibroids as long as the method properly, will achieve satisfactory results. Ultrasound precise positioning, real-time monitoring treatment, and can accurately and objectively evaluate the efficacy.