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目的应用超声造影对子宫肌瘤子宫动脉栓塞患者进行术前患者筛查及术后疗效评估。方法选取46例我院诊断的25~50岁子宫肌壁间肌瘤患者为研究对象,肌瘤大小为3~8cm,且具备临床症状者进行术前超声造影,其中40例患者进行介入治疗并进行完整的术后超声造影效疗评估。结果 46例患者,除3例中途退出及3例术后失访外;40例完成课题者中,32例术前超声造影富血供者术后症状明显好转30例,体积明显缩小32例,超声造影血供明显改变32例;8例术前超声造影乏血供者,术后临床症状、体积变化、超声造影血供均未见明显改变。结论超声造影有助于子宫肌瘤介入治疗患者筛选及术后疗效评估。
Objective To evaluate the preoperative screening and postoperative evaluation of patients with uterine fibroid uterine artery embolization by contrast-enhanced ultrasound. Methods Forty-six patients with myometrial myomectomy from 25 to 50 years old diagnosed in our hospital were enrolled in this study. The size of myoma was 3 ~ 8cm, and preoperative contrast echocardiography was performed in patients with clinical symptoms. Forty patients underwent interventional therapy Complete postoperative contrast echocardiography assessment. Results Of the 46 patients, except for 3 patients who quit midway and 3 patients lost their postoperative follow-up, among the 40 subjects who completed the questionnaire, 32 cases showed significant improvement in symptoms, 32 cases in 32 cases, Thirty-two cases of contrast-enhanced ultrasound were changed obviously. There were no significant changes in 8 cases of preoperative contrast-induced ischemic donors, postoperative clinical symptoms, volume changes, and contrast-enhanced blood supply. Conclusion Contrast-enhanced ultrasound is helpful for the screening of patients with uterine fibroids interventional therapy and evaluation of the curative effect.