[1]姚瑞红,赵 卫,姜永能.六氟化硫微泡在高强度聚焦超声治疗子宫肌瘤中的临床价值[J].介入放射学杂志,2016,(10):903-907.
 YAO Rui- hong,ZHAO Wei,JIANG Yong- neng.The clinical application of sulfur hexafluoride micro- bubbles in treating uterine fibroid with high intensity focused ultrasound[J].journal interventional radiology,2016,(10):903-907.
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六氟化硫微泡在高强度聚焦超声治疗子宫肌瘤中的临床价值 ()

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

卷:
期数:
2016年10期
页码:
903-907
栏目:
临床研究
出版日期:
2016-10-25

文章信息/Info

Title:
The clinical application of sulfur hexafluoride micro- bubbles in treating uterine fibroid with high intensity focused ultrasound
作者:
姚瑞红 赵 卫 姜永能
Author(s):
YAO Rui- hong ZHAO Wei JIANG Yong- neng
Department of Radiology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan province 650032, China
关键词:
【关键词】 子宫肌瘤 超声消融 超声对比剂
文献标志码:
A
摘要:
【摘要】 目的 探讨六氟化硫微泡在高强度聚焦超声(HIFU)治疗子宫肌瘤中的临床应用价值。方法 2011年8月至2013年8月入院诊断为子宫肌瘤患者随机分成造影组(n=30)与非造影组(n=30),造影组HIFU治疗术前、中、后用六氟化硫微泡造影,非造影组术后造影。记录手术时间、出现块状灰度变化时间、辐照时间、肿瘤消融率、治疗剂量(J),两组参数用两独立样本t检验。结果 造影组手术时间、出现块状灰度变化时间、辐照时间、治疗剂量分别为(71.71±53.22) min,(528.74±379.14) s,(827.97±696.43) s,(295 581.81±207 182.29) J,非造影组分别为(148.14±65.12) min,(1 171.42±877.42) s,(1 770.43±1 357.62) s,(597 705.71±464 389.85) J,两组各参数相比差异有统计学意义(P<0.05)。肌瘤消融率造影组为(78.42±5.77)%,非造影组为(76.10±10.11)%,两组各参数相比差异无统计学意义(P>0.05)。造影组患者未发生治疗区皮肤烧伤、下肢麻木, 1例出现全身酸麻,并发症的发生率为1/30(3.3%)。非造影组治疗区皮肤Ⅱ度烧伤1例,下肢麻木1例,全身酸麻2例,并发症的发生率为4/30(13.3%),高于前者(P<0.001),差异有统计学意义。结论 六氟化硫微泡在HIFU热消融子宫肌瘤中,可缩短手术时间,提高肿瘤消融率,减少并发症,具有明显的增效作用,在临床中发挥着重要的指导意义。

参考文献/References:

[1] Stride EP, Coussios CC. Cavitation and contrast: the use of bubbles in ultrasound imaging and therapy[J]. Proc Inst Mech Eng H, 2010, 224: 171- 191.
[2] 王 冬, 杨 珂, 闵加艳, 等. 高强度聚焦超声联合纳米微泡对比剂对兔VX2乳腺移植瘤辐照效果的影响[J]. 中国介入影像与治疗学, 2012, 9: 213- 216.
[3] Chung DJ, Cho SH, Lee JM, et al. Effect of microbubble contrast agent during high intensity focused ultrasound ablation on rabbit liver in vivo[J]. Eur J Radiol, 2012, 81: e519- e523.
[4] 曾 飚, 周 敏, 华媛媛, 等. 高强度聚焦超声治疗子宫肌瘤
的安全性分析[J]. 重庆医学, 2013, 42: 370- 372.
[5] Kennedy JE. High- intensity focused ultrasound in the treatment of solid tumors[J]. Nat Rev Cancer, 2005, 5: 321- 327.
[6] 孙海燕, 王 伟, 黄淑华, 等. 高强度聚焦超声治疗子宫肌瘤300例的临床疗效分析[J]. 现代生物医学进展, 2013, 13: 306- 308.
[7] 许永华, 符忠祥, 杨利霞, 等. MRI导航和温度监控下高强度聚焦超声治疗子宫肌瘤[J]. 介入放射学杂志, 2010, 19: 869- 874.
[8] Tempany CM, Stewart EA, McDannold N, et al. MR imaging- guided focused ultrasound surgery of uterine leiomyomas: a feasibility study 1[J]. Radiology, 2003, 226: 897- 905.
[9] 范 融, 朱 兰. 高强度聚焦超声治疗恶性肿瘤的免疫作用[J]. 协和医学杂志, 2012, 3: 113- 116.
[10] 杨贵英, 闵 苏. 不同体温对兔不同剂量顺式阿曲库铵肌松效应的影响[J]. 中华麻醉学杂志, 2008, 28: 800- 803.
[11] 张继芝, 彭玉兰, 秦卫华, 等. 低温体外循环术后复温过程中体温的安全范围及干预点的判定[J]. 山东医药, 2008, 48: 59- 60.
[12] 温海明, 黄文起, 代冬梅, 等. 体温对国产维库溴铵体内清除过程的影响[J]. 中华麻醉学杂志, 2003, 23: 182- 184.
[13] 李红艳, 徐旭仲, 余微萍, 等. 老年人术中低体温对罗库溴铵药效动力学的影响[J]. 实用医学杂志, 2005, 21: 1768- 1769.
[14] 姜 曼, 赵 卫, 姚瑞红, 等. 高强度聚焦超声消融治疗子宫肌瘤的临床应用[J]. 介入放射学杂志, 2013, 22: 82- 85.
[15] Zhang L, Chen WZ, Liu YJ, et al. Feasibility of magnetic resonance imaging- guided high intensity focused ultrasound therapy for ablating uterine fibroids in patients with bowel lies anterior to uterus[J]. Eur J Radiol, 2010, 73: 396- 403.
[16] 郭丽萍, 张晓玲, 王莉娜. 经导管肝动脉化疗栓塞联合高强度聚焦超声治疗原发性肝癌的护理[J]. 介入放射学杂志, 2010,
19: 328- 330.
[17] 肖雁冰, 梁志刚, 孙丽君, 等. 碘化油增强HIFU损伤离体子宫肌瘤效果的实验研究[J]. 中国超声医学杂志, 2009, 25: 735- 737.
[18] Lum AFH, Borden MA, Dayton PA, et al. Ultrasound radiation force enables targeted deposition of model drug carriers loaded on microbubbles[J]. J Control Release, 2006, 111: 128- 134.
[19] 龚 光. 高强度聚焦超声联合SonoVue超声微泡造影剂对兔肝的热损伤作用[D]. 成都: 四川大学, 2007: 1- 43.

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备注/Memo

备注/Memo:
(收稿日期:2015-12-17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-10-20