妇产科疾病治疗中高强度聚焦超声的应用新进展
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摘要
现在妇科疾病愈发普遍化,也出现了多种多样的治疗手段。本文就子宫肌瘤、子宫内膜异位症及子宫腺肌瘤、慢性宫颈炎、外阴上皮内非瘤样病变和妇产科其他疾病中高强度聚焦超声的应用新进展进行综述,包括这一技术的原理、发展,以及治疗的临床效果。高强度聚焦超声是一种非介入的无创治疗方法 ,该技术在临床应用中相比以往的传统治疗手段具有创伤小、恢复快、安全性有效性高等优点,尤其是对于有生育要求的女性来说,不会对生育功能造成损伤,其他的器官机能也不会造成损害。目前,该技术的临床效果得到了医学界的肯定和患者的满意。
Gynecological diseases are becoming more and more common nowadays.A variety of treatments have also emerged to deal with such diseases.This article reviewed the recent progress in the application of high intensity focused ultrasound(HIFU)in uterine leiomyoma,endometriosis,adenomyoma,chronic cervicitis,vulvar intraepithelial non-neoplastic lesions and other gynecological and obstetric diseases.Including the principle, development and clinical effect of this technology.HIFU is a non-invasive noninterventional therapy.Compared with the traditional treatment, this technique has the advantages of less trauma,faster recovery,higher safety and effectiveness in clinical application.Especially for women with fertility requirements, it will not damage the reproductive function,and other organ functions will not cause damage.At present, the clinical effect of this technique has been affirmed by medical circles and satisfied by patients.
Gynecological diseases are becoming more and more common nowadays.A variety of treatments have also emerged to deal with such diseases.This article reviewed the recent progress in the application of high intensity focused ultrasound(HIFU)in uterine leiomyoma,endometriosis,adenomyoma,chronic cervicitis,vulvar intraepithelial non-neoplastic lesions and other gynecological and obstetric diseases.Including the principle, development and clinical effect of this technology.HIFU is a non-invasive noninterventional therapy.Compared with the traditional treatment, this technique has the advantages of less trauma,faster recovery,higher safety and effectiveness in clinical application.Especially for women with fertility requirements, it will not damage the reproductive function,and other organ functions will not cause damage.At present, the clinical effect of this technique has been affirmed by medical circles and satisfied by patients.
引文
[1]石一复,李娟青.高强度聚焦超声在妇产域的应用和设想[J].中国计划生育和妇产科,2017,9(12):1-4.
[2]张雯珂,武周炜.高强度聚焦超声在妇产科领域的应用进展[J].医疗卫生装备,2013,34(22705):90-92.
[3]张苗,周洪贵,田小兵.高强度聚焦超声在妇产科的临床应用[J].中华临床医师杂志(电子版),2015,916(2):3096-3099.
[4]林玉贤,杨宁波,曹丽萍,等.探讨高强度聚焦超声技术在治疗子宫肌瘤中的应用[J].子宫性科学,2017(6):45-47.
[5]陈舒婧,周玉珍.高强度聚焦超声技术在妇产科疾病中的应用[J].临床医药文献电子杂志,2018(4):68.
[6]张卫兵,颜朝晖,陈建,等.高强度聚焦超声治疗子宫肌瘤的疗效分析[J].武警医学,2017,28(6):621-624.
[7]罗爽,王艳,何佳.高强度聚焦超声消融联合孕三烯酮治疗子宫肌腺病的疗效评价[J].重庆医学,2018,47(2):170-172.
[8]范红杰,彭清,寸江平,等.高强度聚焦超声消融局限性子宫腺肌症[J].子宫介入影像与治疗学,2018,15(9):540-543.
[9]朱丽华,杜学谦.高强度聚焦超声治疗子宫腺肌症的临床价值分析[J].医学影像学杂志,2017,27(10):2035-2038.
[10]肖菊花.高强度聚焦超声波对大鼠胚胎组织的影响及对子宫瘢痕妊娠的临床效果研究[D].南昌大学,2017.
[11]马俊,颜为红.高强度聚焦超声治疗外阴白色病变致外阴烧伤二例教训[J].临床误诊误治,2017,30(7):63.
[12]马霞.医学单次聚焦超声治疗慢性宫颈炎的临床效果分析[J].河南医学研究,2017,26(3):491-492.
[13]梁秀丽,张海英.高强度聚焦超声治疗慢性宫颈炎的临床探讨[J].临床误诊误治,2017,20(6):81.
[14]祝建芳.聚焦超声治疗人宫颈癌裸鼠皮下移植瘤的实验研究[D].重庆医科大学,2018.
[15]白愿.HIFLU治疗声通道腹壁反应性改变及腹壁内异症疗效分析[D].重庆医科大学,2016.
[16]Testa AC,Ferrandina G,Timmerman D,et al.OC228:Imaging in gynecological disease(1):ultrasound features of metastases in the ovaries differ depending on the origin of the primarytumor[J].UltrasoundinObstetrics&Gynecology,2017,30(4):367-455.
[2]张雯珂,武周炜.高强度聚焦超声在妇产科领域的应用进展[J].医疗卫生装备,2013,34(22705):90-92.
[3]张苗,周洪贵,田小兵.高强度聚焦超声在妇产科的临床应用[J].中华临床医师杂志(电子版),2015,916(2):3096-3099.
[4]林玉贤,杨宁波,曹丽萍,等.探讨高强度聚焦超声技术在治疗子宫肌瘤中的应用[J].子宫性科学,2017(6):45-47.
[5]陈舒婧,周玉珍.高强度聚焦超声技术在妇产科疾病中的应用[J].临床医药文献电子杂志,2018(4):68.
[6]张卫兵,颜朝晖,陈建,等.高强度聚焦超声治疗子宫肌瘤的疗效分析[J].武警医学,2017,28(6):621-624.
[7]罗爽,王艳,何佳.高强度聚焦超声消融联合孕三烯酮治疗子宫肌腺病的疗效评价[J].重庆医学,2018,47(2):170-172.
[8]范红杰,彭清,寸江平,等.高强度聚焦超声消融局限性子宫腺肌症[J].子宫介入影像与治疗学,2018,15(9):540-543.
[9]朱丽华,杜学谦.高强度聚焦超声治疗子宫腺肌症的临床价值分析[J].医学影像学杂志,2017,27(10):2035-2038.
[10]肖菊花.高强度聚焦超声波对大鼠胚胎组织的影响及对子宫瘢痕妊娠的临床效果研究[D].南昌大学,2017.
[11]马俊,颜为红.高强度聚焦超声治疗外阴白色病变致外阴烧伤二例教训[J].临床误诊误治,2017,30(7):63.
[12]马霞.医学单次聚焦超声治疗慢性宫颈炎的临床效果分析[J].河南医学研究,2017,26(3):491-492.
[13]梁秀丽,张海英.高强度聚焦超声治疗慢性宫颈炎的临床探讨[J].临床误诊误治,2017,20(6):81.
[14]祝建芳.聚焦超声治疗人宫颈癌裸鼠皮下移植瘤的实验研究[D].重庆医科大学,2018.
[15]白愿.HIFLU治疗声通道腹壁反应性改变及腹壁内异症疗效分析[D].重庆医科大学,2016.
[16]Testa AC,Ferrandina G,Timmerman D,et al.OC228:Imaging in gynecological disease(1):ultrasound features of metastases in the ovaries differ depending on the origin of the primarytumor[J].UltrasoundinObstetrics&Gynecology,2017,30(4):367-455.