周宁波,张瑜,杨文青,沈利聪.高强度聚焦超声治疗子宫腺肌病能效因子的影响因素[J].中国医学影像技术,2019,35(11):1712~1716
高强度聚焦超声治疗子宫腺肌病能效因子的影响因素
Factors affecting energy efficiency factor in high intensityfocused ultrasound for adenomyosis
投稿时间:2019-06-26  修订日期:2019-07-26
DOI:10.13929/j.1003-3289.201906118
中文关键词:  子宫腺肌病  高强度聚焦超声消融  能效因子
英文关键词:adenomyosis  high intensity focused ultrasound ablation  energy efficiency factor
基金项目:
作者单位E-mail
周宁波 中南大学湘雅医院妇科, 湖南 长沙 410008  
张瑜 中南大学湘雅医院妇科, 湖南 长沙 410008 cszhangyu@126.com 
杨文青 中南大学湘雅医院妇科, 湖南 长沙 410008  
沈利聪 中南大学湘雅医院妇科, 湖南 长沙 410008  
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中文摘要:
      目的 探讨高强度聚焦超声治疗子宫腺肌病能效因子(EEF)的影响因素。方法 回顾性分析130例接受高强度聚焦超声治疗的子宫腺肌病患者的资料。采用差异性和相关性分析方法找出可影响高强度聚焦超声消融EEF的因素,并通过多因素分析获得多元线性回归方程。结果 病程(X1)、腹壁瘢痕(X2)、促性腺激素释放激素激动剂(GnRH-a)预处理(X3)、血流分级(X4)、腹壁厚度(X5)及靶皮距(X6)为高强度聚焦超声消融EEF的影响因素。多元线性回归方程为Y=-17.742+1.153X1+14.927X2-13.846X3+4.713X4+1.422X5+0.227X6。结论 高强度聚焦超声治疗病程短、无腹壁瘢痕、治疗前经GnRH-a预处理、病灶血流少、腹壁厚度薄、靶皮距短的子宫腺肌病患者的EEF更小,消融效率更高。
英文摘要:
      Objective To explore the factors affecting energy efficiency factor (EEF) in high intensity focused ultrasound for adenomyosis. Methods Data of 130 patients with adenomyosis treated with high intensity focused ultrasound were retrospectively analyzed. The factors affecting EEF in high intensity focused ultrasound were identified with difference and correlation analyses. And a multiple linear regression equation was obtained by multivariate analysis. Results The course of disease (X1), abdominal wall scar (X2), gonadotropin releasing hormone agonist (GnRH-a) pretreatment (X3), blood flow grade (X4), abdominal wall thickness (X5) and target-skin distance (X6) were the influencing factors of EEF in high intensity focused ultrasound with the multiple linear regression equation as Y=-17.742+1.153X1+14.927X2-13.846X3+4.713X4+1.422X5+0.227X6. Conclusion High intensity focused ultrasound treatment presents lower EEF and higher ablation efficiency in patients with adenomyosis who have short course of disease, no abdominal wall scar, GnRH-a pretreatment, little blood flow in the lesion, thin abdominal wall and short target-skin distance.
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