Abstract

Objective To observe the efficacy and safety of high-intensity focused ultrasound ( HIFU ) therapy in uterine fibroids .Methods HIFU was used in the treatment process of 105 patients with uterine fibroids . Then ,we evaluated the treatment effect of HIFU through the follow-up observation of clinical symptoms ,fibroid volume and adverse reaction after treatment for 1 month,3 months,6 months.Results Before treatment,the tumor volume was (48.1 ±17.8)cm3,that was reduced to (30.9 ±10.2)cm3,(24.5 ±8.6)cm3,(18.3 ±7.8)cm3 at 1,3, 6 months after treatment,the differences were statistically significant (t =3.518,5.276,8,119,all P 〈0.01). 6 months after treatment,the total effective rate was 80.9%.And for patients with muscular uterine fibroids ,uterine fibroids less than 5 cm,the effective rate was up to 91.9% and 93.8%,respectively.Conclusion HIFU has a positive impact on uterine fibroids ,especially for myometrium and smaller fibroids . Key words: High-intensity focused ultrasound ablation; Myometrium; Leiomyoma

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