磁共振引导下聚焦超声术治疗症状性子宫肌瘤的相关影像学分析

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1、万方数据中国医学科学院北京协和医学院毕业论文Theimagingstudyofmagneticresonance--guidedfocusedultrasoundsurgeryforsymptomaticuterinefibroidsAbstractIStudyofefficacyandsafetyofMRgFUSforsymptomaticuterinefibroidsObjectiveThisperspectiveclinicalstudyincludedshort——termand10ng——termfollow——upofc

2、onsecutivewomenwithsymptomaticuterinefibroidswhounderwentMRgFUStreatmentonanExAblate@2100system(InSightecLtd，Haifa，Israel)toaccessthesafetyandclinicalefficacyofMRgFUSinthetreatmentofsymptomaticuterinefibroids．Material＆Methods1．Thegynecologyandobstetricsoutpatientdepart

3、mentofPekingUnionMedicalCollegeHospitalrecruitedtheseconsecutivemotherswithsymptomaticuterinefibroidswhovolunteeredtoaccepttheMRgFUStreatment．ClinicalandMRIexaminationswereusedtodeterminewhoisqualifiedforthestudy．2．Thesubjectivesymptomsandobjectiveindicatorswereobserve

4、d，meanwhile，theadverseeffectsandthecorrelativestatistiCSofvolumechangewererecorded．3．Thechangeofsubjectivesymptomsandobjectiveindicatorswereobservedandcomparedaftertreatmentat1week，1，3，6，12monthsandseveralyearsfollow-upusinganuterinefibroidsymptomandqualityoflifequesti

5、onnaire．Results1．93patientsaskedfortheMRgFUS，while26patients(28．0％)wereconsideredsuitableforthetreatment．U1timately，25patientswhosuccessfullycompletedthetreatmentforsymptomaticuterinefibroidswereincludedinthiSstudy．2．ThemeanNPV％immediatelyafterthetreatmentwas64±23％(6-9

6、4％)：significantreductioninstandardSSSwasseenatal1thefollow——upafterthetreatmentcomparedtopretreatmentSSS(P

7、：therewasnocorrelationbetweenthevolumeorchangeofvolumeandthestandardSSSorchangeofthestandardSSS(P>O．05)．3．NoseriOUSadverseeffectswererecordedduringorafterthetreatment．Theadverseeffectscorrelatingwiththetreatmentatthefollow-upaftertheproceduretotaledupto34．whichwerea11m

8、ildtomoderateandvanishedatthelastfollow—up．Conclusions1．MRgFUShassustainedandgoodeffectonimprovementofsymptomaticuter