| 摘要: |
| 【摘要】目的：分析实时超声引导下高强度聚焦超声消融（Ultrasound guided high intensity focused ultrasound, USgHIFU）治疗有症状子宫肌瘤后的妊娠结局。方法：回顾性分析2011年12月至2015年12月在我院接受HIFU消融的827例有症状子宫肌瘤患者中消融后自然妊娠的35例患者的病史资料和妊娠结局。结果：35例患者共39个肌瘤均顺利接受HIFU消融；患者发生不同程度的不良反应,均属于SIR A-B类，无SIR C-F类发生。治疗后自然妊娠的患者共35例(35人次),平均受孕时间为HIFU消融后(18.3±5.6)个月;其中非计划妊娠者11例:人工流产7例, 药物流产4例；计划妊娠24例:自然流产2例，顺产10例,剖宫产12例(11例社会因素),胎儿生长发育良好,无严重产时并发症及合并症;1例患者孕34+5周因胎盘早剥行剖宫产,新生儿窒息,经救治母儿预后良好。结论：HIFU治疗后可以正常受孕和分娩，自然妊娠的时间选择一般在治疗后12-24个月内。 |
| 关键词: 高强度聚焦超声消融（HIFU）治疗，子宫肌瘤，妊娠结局 |
| DOI： |
| 投稿时间：2016-07-18修订日期：2016-08-11 |
| 基金项目: |
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| Analysis of Pregnancy outcome after the real-time ultrasound guided high intensity focused ultrasound ablation (USgHIFU) for treatment of Symptomatic uterine fibroids |
| wuguangping |
| () |
| Abstract: |
| Abstract：To analyze the reproductive outcome after high intensity focused ultrasound(HIFU) ablation for treatment of uterine fibroids．
Methods：Retrospective analysis from December 2011 to December 2015 ,827 patients with symptomatic uterine who had HIFU treatment in our hospita1 fibroids,After ablation ,Pregnancies occurred in 35 patients Reproductive outcome and their medical history were retrospectively analyzed．
Results： All the 35 patients with 39 ibroids were successfully treated with HIFU．No Major adverse effects were observed, all belong to the A-B SIR class, no C-F SIR class occurred .Successful pregnancies occurred in 35 patients after the average time of (18.3±5.6 )months post HIFU．11 cases of unplanned pregnancy: 7 cases of artificial abortion , 4 cases of drug abortion; 24 cases of planned pregnancy:Spontaneous abortion in 2 cases,10 women had a vaginal delivery，and 12 had cesarean delivery． All the term infants were health．
Conclusions： Women with Symptomatic Uterine fibroids can be fertilized nomally after HIFU ablation ,The time period between the pregnancy and operation should generally 12-24 months. |
| Key words: High intensity focused ultrasound(HIFU),Uterine fibroids,Pregnancy outcome |
