摘要
目的通过回顾性分析经高强度聚焦超声(HIFU)治疗有生育要求的子宫腺肌瘤患者的妊娠情况,探讨HIFU治疗对妊娠的影响。方法对2010年10月至2013年7月在遂宁市中心医院行HIFU治疗的有生育要求的38例子宫腺肌瘤患者进行分析研究。结果 38例有生育要求的子宫腺肌瘤患者,治疗后月经量、痛经程度、病灶体积与治疗前比较,差异有统计学意义(P<0.05)。其中15例已成功妊娠,7例已足月分娩(剖宫产3例,阴道分娩4例),其余患者常规产前检查,均未见异常。治疗后成功妊娠患者的病灶体积、痛经程度均比未妊娠者显著缩小,差异有统计学意义(P<0.05)。结论 HIFU治疗子宫腺肌病患者后可提高妊娠率,对患者妊娠、分娩过程及新生儿均未见不良影响,但目前还需长期、大样本观察总结。
Objective To investigate the reproductive outcome after high intensity focused ultrasound （HIFU ） ablation for pa-tients with adenomyosis who have fertility requirements .Methods From October 2010 to June 2013 ,38 patients with adenomyosis who have fertility requirements treated by HIFU in our hospital were analyzed .Results In 38 cases ,the menorrhagia severity score ,the dysmenorrhea pain score and adenomyosis lesions after HIFU ablation were significantly different from the levels before HIFU treatment（P〈0 .05） .Successful pregnancy occurred in 15 patients ,full-term birth was seen in 7 patients（three of Cesarean section ,four of vaginal delivery）;the remaining patients accept routine prenatal examination .All pregnant patients showed no ab-normality .Conclusion Although large sample size study with long-term follow up is need ,based on our results ,HIFU ablation for patients with adenomyosis might improve the pregnancy rate safely .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第4期454-455,458,共3页
Chongqing medicine
关键词
妊娠
超声消融
子宫腺肌瘤
不孕
preg
high intensity focused ultrasound
adenomyosis
infertility
