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彩色多普勒超声在子宫动脉栓塞治疗子宫肌瘤疗效观察中的应用 被引量:9

Color Doppler sonography in evaluating uterine arterial embolization for leiomyomata
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摘要 目的 探讨彩色多普勒超声对子宫肌瘤栓塞治疗疗效的观察价值。方法 对 2 9例子宫肌瘤患者 ,分别于栓塞前、栓塞后 1周、3个月、6个月进行彩色多普勒随访观察。结果 栓塞后 3个月、6个月肌瘤体积显著缩小 (P <0 .0 1) ,平均缩小 5 0 .0 6%、63 .70 %。术后 1周、3个月、6个月肌瘤血流明显减少甚至消失。肌瘤回声可出现强光点、液性暗区、回声增高等改变。结论 彩色多普勒超声是评价栓塞治疗反应的理想工具 。 Objective To study the value of color Doppler sonography in the evaluation of uterine arterial embolization (UAE) for leiomyomata. Methods Twenty-nine consecutive women with uterine leiomyoma were included in the study. Color Doppler sonography were applied before UAE,and 1 week,3 and 6 months after UAE. Results The leiomyomata shrunk significantly after 3 and 6 months ( P <0.01). The mean reduction in volume was 50.06% and 63.70% respectively. After UAE, the blood perfusion of the leiomyoma reduced significantly, even disappeared, and the echo changed with hyperechoic dots or strips,fluid areas and enhanced echo. Conclusion Color Doppler sonography is an ideal tool to evaluate the effect of UAE for leiomyoma and it plays an important role in the long term follow-up.
出处 《中国医学影像技术》 CSCD 2004年第6期932-934,共3页 Chinese Journal of Medical Imaging Technology
关键词 超声检查 彩色多普勒 平滑肌瘤 子宫肿瘤 栓塞 治疗性 Ultrasonography, color Doppler Leiomyoma Uterine neoplasms Embolization therapeutic
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  • 1[4]Worthington-Kirsch RL, Popky GL, Hutchins FL, et al. Uterine arterial embolization for the management of leiomyomas: qualityof-Life assessment and clinical response[J]. Radiology, 1998,208(3) :625-629.
  • 2[6]Bradley EA, Reidy JF, Forman RG, et al. Transcatheter uterine artery embolization to treat large uterine fibroids [J] . Br J of Obstet and Gynaecol, 1998,105(2) :235-240.
  • 3[7]Brunereau L, Herbreteau D, Gallas S, et al. Uterine artery embolization in the primary treatment of uterine leiomyomas: technical features and prospective follow-up with clinical and sonographic examinations in 58 patients[J]. AJR, 2000,175(5) :1267-1272.

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