[1]张雅姣,肖智博,吕富荣,等.子宫肌瘤HIFU术后骶骨MR异常信号的影响因素研究[J].介入放射学杂志,2019,28(11):1066-1070.
　ZHANG Yajiao,XIAO Zhibo,L? Furong,et al.The influencing factors of sacrum abnormal MR signal occurring after HIFU for uterine fibroids[J].journal interventional radiology,2019,28(11):1066-1070.
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子宫肌瘤HIFU术后骶骨MR异常信号的影响因素研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年11期
页码:
1066-1070
栏目:
非血管介入
出版日期:
2019-11-25

文章信息/Info

Title:
The influencing factors of sacrum abnormal MR signal occurring after HIFU for uterine fibroids
作者:
张雅姣;  肖智博;  吕富荣;  刘梓菀;  黄浩然
Author(s):
ZHANG Yajiao;  XIAO Zhibo;  L?譈 Furong;  LIU Ziyu;  HUANG Haoran.
Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
关键词:
【关键词】 高强度聚焦超声;  子宫肌瘤;  骶骨;  MRI
文献标志码:
A
摘要:
【摘要】 目的 探讨子宫肌瘤高强度聚焦超声(HIFU)消融术后骶骨MR异常信号的影响因素。方法 回顾性分析2017年3月- 2018年8月初次行HIFU治疗的133例子宫肌瘤患者的盆腔MRI及临床资料，记录子宫肌瘤特征及HIFU治疗参数。结果 36例(27.1%)患者在HIFU术后MRI观察到骶骨异常信号。单因素分析中，骶骨MR异常信号与肌瘤骶骨距离、HIFU治疗总能量和辐照时间相关（P均＜0.05）。多因素logistic回归分析中，肌瘤骶骨距离差异有统计学意义（P＝0.003），OR值为0.918，95%CI 0.868～0.971。 结论 肌瘤骶骨距离、HIFU辐照时间及治疗总能量与骶骨MR异常信号的出现密切相关，且肌瘤骶骨距离是骶骨MR异常信号的保护因素。

参考文献/References:

［1］ Juhasz- Boss I, Jungmann P, Radosa J, et al. Two novel classification systems for uterine fibroids and subsequent uterine reconstruction after myomectomy［J］. Arch Gynecol Obstet, 2017, 295: 675- 680.
［2］ Stewart EA, Cookson CL, Gandolfo RA, et al. Epidemiology of uterine fibroids: a systematic review［J］. BJOG, 2017, 124: 1501- 1512.
［3］ Chen Y, Jiang J, Zeng Y, et al. Effects of a microbubble ultrasound contrast agent on high- intensity focused ultrasound for uterine fibroids: a randomised controlled trial［J］. Int J Hyperther- mia, 2018, 34: 1311- 1315.
［4］ 范宏杰， 寸江平， 陆 阳，等． 高强度聚焦超声消融多发性子宫肌瘤的影响因素［J］． 介入放射学杂志， 2018， 27： 941- 944．
［5］ 鲁仁财，赵 卫． 超声微泡对比剂增强高强度聚焦超声治疗作用研究进展［J］． 介入放射学杂志， 2016， 25：1114- 1118．
［6］ Kim YS, Lee JW, Choi CH, et al. Uterine fibroids: correlation of T2 signal intensity with semiquantitative perfusion MR parameters in patients screened for MR- guided high- intensity focused ultrasound ablation［J］. Radiology, 2016, 278: 925- 935.
［7］ Quinn SD, Gedroyc WM. Thermal ablative treatment of uterine fibroids［J］. Int J Hyperthermia, 2015, 31: 272- 279.
［8］ Liu Y, Zhang WW, He M, et al. Adverse effect analysis of high- intensity focused ultrasound in the treatment of benign uterine diseases［J］. Int J Hyperthermia, 2018, 35: 56- 61.
［9］ 尹 娜， 王 玲， 胡 亮，等． HIFU治疗超声衰减宽度<10 mm声通道腹壁瘢痕子宫肌瘤患者的有效性及安全性［J］． 中国介入影像与治疗学， 2018， 15： 221- 225．
［10］ 邓凤莲，邹建中，孙立群，等． MRI评价高强度聚焦超声治疗子宫肌瘤对骶骨的影响［J］． 中国医学影像学杂志， 2008， 16： 401- 404．
［11］ Cardella JF, Kundu S, Miller DL, et al. Society of interventional radiology clinical practice guidelines［J］. J Vasc Interv Radiol, 2009, 20 (7 Suppl): S189- S191.
［12］ Yin N, Hu L, Xiao ZB, et al. Factors influencing thermal injury to skin and abdominal wall structures in HIFU ablation of uterine fibroids［J］. Int J Hyperthermia, 2018, 34: 1298- 1303.
［13］ 崔运能，田 橄，陈向东，等． 高强度聚焦超声治疗子宫肌瘤及子宫腺肌瘤术后早期并发症的MR表现［J］．临床放射学杂志，2018， 27：461- 465．
［14］ 徐小娟，刘晓芳，何 佳． 高强度聚焦超声治疗子宫肌瘤2年随访结果分析［J］． 中国实用妇科与产科杂志， 2018， 34： 214- 218．
［15］ 鲁仁财，赵 卫，易根发，等． 微泡对比剂应用于高强度聚焦超声治疗子宫肌瘤疗效观察［J］． 介入放射学杂志， 2018， 27： 71- 76．
［16］ Cun JP, Fan HJ, Zhao W, et al. Factors influencing MR changes associated with sacral injury after high- intensity focused ultrasound ablation of uterine fibroids［J］. Int J Hyperthermia, 2019, 36: 21- 28.
［17］ Peng S, Zhang L, Hu L, et al. Factors influencing the dosimetry for high- intensity focused ultrasound ablation of uterine fibroids: a retrospective study［J］. Medicine (Baltimore), 2015, 94: e650.

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备注/Memo

备注/Memo:
（收稿日期：2019- 07- 24）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2019-11-18