| 赫飞飞 董晓秋 邵小慧 张立维 戚云峰.基于三维彩色血管能量成像的子宫肌瘤射频消融的临床研究[J].,2015,15(36):7058-7062 |
| 基于三维彩色血管能量成像的子宫肌瘤射频消融的临床研究 |
| Clinical Study of Radiofrequency Ablation for Uterine Fibroidsbased on Three-dimensional Color Power Angiography |
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| DOI： |
| 中文关键词: 子宫肌瘤 射频消融 三维彩色血管能量成像 彩色多普勒血流显像 |
| 英文关键词: Uterine fibroids Radiofrequency ablation Three-dimensional color power angiography Color Doppler flow imaging |
| 基金项目:国家自然科学基金项目（81271646） |
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| 中文摘要: |
| 目的：探讨三维彩色血管能量成像（three-dimensional color power angiography,3D-CPA）在射频消融（radiofrequency ablation
,RFA）子宫肌瘤中的应用价值。方法：回顾性分析于我院行RFA 治疗的48 例子宫肌瘤患者，比较3D-CPA、CDFI(color Doppler
flow imaging) 两种方法指导下肌瘤血流分级、血管形态显示、初次消融时间、消融针数、完全消融率。根据超声造影
（contrast-enhanced ultrasound ,CEUS）结果对两组瘤体中消融不全的部分补充消融，记录两组的消融时间、消融针数并比较整个治
疗过程的消融时间、消融针数。结果：3D-CPA、CDFI在显示血流分级、血管形态上差异有统计学意义(P＜0.05)。初次治疗后，
3D-CPA 组92.3%(21/24)瘤体无造影剂灌注，CDFI组有68.2%（15/22）瘤体无造影剂灌注。二者比较差异有统计学意义（P＜0.05）。
整体消融过程中两组瘤体均达到完全消融时，3D-CPA组消融时间为（22.42± 0.68）min，消融针数为（5.04± 0.27）针，而CDFI 组
消融时间为（27.0± 2.34）min,消融针数为（6.09± 0.46）针，两组间差异均有统计学意义(P＜0.05)。结论：基于3D-CPA 可以显示子
宫肌瘤内外血管数目、形态用以指导射频消融治疗子宫肌瘤的价值优于CDFI指导射频消融术。 |
| 英文摘要: |
| Objective:To investigate the application value of three-dimensional color power angiography （3D-CPA）in the
treatment of radiofrequency ablation（RFA）for uterine fibroids.Methods:Retrospective analysis of 48 patients with uterine fibroids
treated by RFA under guiding by 3D-CPA and color Doppler flow imaging (CDFI). The differences of blood flow classification and
blood vessel morphology, and the differences of initial ablation time, the ablation needle number and the complete ablation rates between
the two groups were compared. The incompletely ablated uterine fibroids in the two groups were conducted supplementary ablation
according to the results of CEUS. Then recorded the ablation time and the needle number. After that compared the difference of the
ablation time and the number of the ablation of the whole treatment process.Results:There were differences between 3D-CPA and CDFI
in showing blood flow classification and blood vessel morphology. And the differences were statistically signicant (P＜0.05). After the
initial treatment, 92.3%（21/24）of uterine fibroids in 3D-CPA group had no contrast infusion, while 68.2%（15/22）of uterine fibroids
in CDFI group had no contrast infusion. There was statistically difference between the two groups (P＜0.05). In the whole ablation
process the ablation time of the 3D-CPA group was（22.42± 0.68）min, the needle number was（5.04± 0.27）, while the ablation time of
the CDFI group was（27.0± 2.34）min, the needle number was（6.09± 0.46）. There was statistically difference between the two groups
(P＜0.05).Conclusion:3D-CPA was superior to CDFI in displaying the number of internal and external vessels of uterine fibroids, the
vascular morphology and the guidance of RFA for uterine fibroids. |
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