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ID:57199693
大小:563.00 KB
页数:32页
时间:2020-08-03
《子宫腺肌症治疗课件.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、湖北省妇幼保健院Maternityandchildcarecentersinhubeiprovince王燕WangYanprojectdate20/09/2007高强度聚焦超声治疗子宫腺肌症的临床研究TheClinicalStudyOfUltrasound-guidedHigh-intensityFocusedUltrasoundAblationForAdenomyosis概念onception02子宫腺肌病(adenomyosis,AM)一种常见妇科疾病,多发生在30-50岁经产妇。本病的发病机制尚不清楚Ad
2、enomyosisisacommonGynecologicaldiseasethatusuallyaffectmultiparasof30-to-50year-olds.Thepathogenesisofthisdiseaseisnotclear现状:发病率升高,发病年龄呈下降趋势,对患者生活质量的影响也越来越大Thecurrentsituation:Theincidenceratesrisedwhiletheageofonsetdeclined,theinfluenceonthequalityoflifeof
3、patientsaregettingmoreandmoreserious文献资料:literature&information:可能与人工流产、宫内放置节育器、输卵管结扎、诊断性刮宫、分娩等因素相关——常损伤子宫内膜及浅肌层,导致基底层子宫内膜侵入子宫肌层内生长Adenomyosismayberelatedtothefactorsofinducedabortion、IUD、tuballigation、curettage、childbirth,etc--whichusuallydamagetheendometri
4、umandshallowmyometrium,causedthebasallayerofendometriuminvadeintomyometrium观察observation手术治疗surgery药物治疗drugs治疗therapy症状Symptoms年龄Age生育要求Desireoffertility,根治性手术Radicalsurgery子宫+双附件切除术Hysterectomyandbilateralsalpingo-oophorectomy(BSO)手术治疗surgicaltreatment保
5、守性手术:Conservativeoperation子宫内膜去除术(Transcervicalesectionofendometrium,TCRE)介入(UterineArterialEmbolization,UAE)腹腔镜子宫动脉结扎术(LaparoscopicUterineArteryLigation,LBUAB)超声聚焦治疗(HighIntensityFocusedUltrasound,HIFU)电消融治疗electricalablation子宫腺肌瘤挖除术myomectomyforuteri
6、nemyoma+腹腔镜子宫动脉阻断术(Laparoscopicuterinearteryblockage,LBUAB)+腹腔镜子宫神经去除术(Laparoscopyuterinenerveablation,LUNA)根治性手术:1%Radicalsurgery保守性手术:80-95%Conservativeoperation治疗方式的选择Thechoiceoftreatments手术治疗的不足之处thedefectsofsurgicaltreatment不能处理微小病灶——复发Can'tdealwiththe
7、smalllesions-Relapse不能去除病因——复发Havebeenunabletoremovethecauses-Relapse增加患者的压力和负担Increasingthepressureandburdenofpatients保留子宫Preservationoftheuterus非侵入性Non-invasive不需麻醉Noanesthesia并发症、副作用少Therewerefewsideeffectsandcomplications保留生育功能Conservefertility可重复性好Well
8、repeatability理想治疗方式Theidealtreatmants研究方法ResearchmethodsHighIntensityFocusedUltrasoundAblationbyHaifu'sModelJC200skin非月经期、非妊娠期、非哺乳期Non-menstrual,un-pregnant,nonpuerperalwomen.经妇检和B超确定为子宫腺肌病患者Gyn
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