超声造影评价子宫肌瘤短期介入疗效的临床初步研究-影像医学与核医学专业论文.docxVIP

PAGE PAGE 10 缩小程度与术前相比无统计学差异（p0.05）；术后 3～6 个月肌瘤体 积明显缩小,与 UAE 术前肌瘤体积比较差异显著，有统计学意义 （p0.05）。有 4 枚肌瘤（13.3%）术后体积一直无明显缩小，但该 4 枚肌瘤 PI、AUC 与术前相比均有明显减低，且术后时间-强度曲线幅 度减低接近至零。⑤UAE 术后 6 个月，子宫肌瘤体积的缩小程度与 术前肌瘤的超声造影表现和肌瘤的位置有关。体积缩小组的 26 枚肌 瘤中，术前造影剂达峰后表现为均匀增强的子宫肌瘤体积缩小程度明 显大于不均匀增强的子宫肌瘤，差异有统计学意义（p0.05）；肌壁 间肌瘤的体积缩小程度大于浆膜下肌瘤，差异显著，有统计学意义 (p0.01)。结论 ①超声造影能够实时显示子宫肌瘤的血流灌注模式。 ②同 CDFI 相比，超声造影反映 UAE 术后子宫肌瘤内部血流阻断情 况更敏感准确。③超声造影时间-强度曲线的各项参数变化，能够定 量、客观地评价子宫肌瘤的介入疗效。④在超声造影条件下测量子宫 肌瘤体积的变化相对更为准确，为评估子宫肌瘤短期介入疗效提供更 可靠的依据。⑤超声造影对子宫肌瘤的再次 UAE 补充治疗具有一定 的指导作用。 [关键词] 超声检查；造影剂；子宫动脉栓塞术；子宫肌瘤 Clinical study on short-term interventional treatment evaluation of uterine leiomyoma by contrast-enhanced ultrasound Abstract: Objective To explore the clinical application value of short-term interventional treatment of uterine leiomyoma by contrast-enhanced ultrasound，whose performance of uterine leiomyoma treated by uterine artery embolisation（UAE）were compared before and after. Metheds Collected 26 cases to confirm the diagnosis in patients with uterine fibroids, fibroids number totaled 30, including single uterine fibroids in 23 cases, multiple uterine fibroids in 3 cases (7), 22 intramural fibroids, subserosal 8 fibroids. In patients with menstrual clean after 3 to 7 days, the Seldinger technique femoral artery catheterization, the use of the the Roadmap technology super choose to insert the horizontal part of uterine artery embolization of uterine fibroids blood vessels that supply the fibroids embolization. Use with real-time harmonic contrast-enhanced ultrasound technology, Color Doppler ultrasonography in patients with UAE preoperative and postoperative 7 days in January, March, June, respectively, by the ventral line two-dimensional ultrasound and Color Doppler ultrasound, observe the fibroids shape, location, echo, inside and around the Color Doppler flow signal, and then select the best section of the fibroids, Color Doppler ultrasonography transition to advanced nonlinear pulse seq