摘要
目的探讨彩色多普勒超声引导下微波消融(MWA)治疗腹壁子宫内膜异位症的安全性及疗效。方法对武汉市中心医院2015年1月至2017年1月诊断为腹壁子宫内膜异位症手术后复发患者21例(30处病灶)行彩色多普勒超声引导下腹壁包块活检及MWA治疗。术后1、3、12和24个月分别追踪观察患者临床症状及包块大小和不良反应情况。结果 100%(21例)患者痛经症状消失或缓解,腹壁包块体积逐渐缩小,其内彩色血流信号完全消失。术中、术后及随访时间内均无严重不良反应发生,无一例复发。结论彩超引导下MWA治疗腹壁子宫内膜异位症是一种安全有效的治疗方法,有明显临床应用价值。
Objective To investigate the safety and efficacy of microwave ablation （MWA） guided by color Doppler ultrasonography in treating endometriosis of abdominal wall. Methods Twenty- one patients with postoperative recurrence of abdominal wall endometriosis （30 lesions in total）, who were admitted to Wuhan Municipal Central Hospital, China, during the period from January 2015 to January 2017 to receive treatment, were included in this study. Under the guidance of color Doppler uhrasonography, biopsy of abdominal mass and MWA therapy were carried out in all patients. The patients were followed up at one, 3, 12 and 24 months after MWA therapy to check the clinical symptoms, mass size and adverse reactions. Results After MWA, the symptoms of dysmenorrhea disappeared or relieved in all 21 patients （100%）, the volume of abdominal mass gradually shrank, and the preoperative color flow signal within the lesion completely disappeared. No serious adverse complications occurred during the intraoperative and postoperative time, as well as during the follow-up period. No patient had relapse of endometriosis. Conclusion For the treatment of endometriosis of abdominal wall, color ultrasound- guided MWA is safe and effective, this technique has important clinical application value.
作者
黄秀娟
杨顺实
赵小禹
毛明峰
李珏颖
HUANG Xiujuan;YANG Shunshi;ZHAO Xiaoyu;MAO Mingfeng;LI Jueying.(Department of Ultrasound, Affiliated Wuhan Municipal Central Hospital, Ton~i Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province 430014, China)
出处
《介入放射学杂志》
CSCD
北大核心
2018年第7期641-644,共4页
Journal of Interventional Radiology
关键词
微波消融
超声引导
腹壁子宫内膜异位
microwave ablation
ultrasound guidance
endometriosis of abdominal wall
