磁共振引导超声聚焦治疗子宫肌瘤患者的MRI筛选

摘要

目的:探讨通过术前MRI扫描筛选适合磁共振引导超声聚焦治疗(MRgFUS)的症状性子宫肌瘤患者.方法:复习文献,回顾性分析完成MRgFUS治疗的30例症状性子宫肌瘤患者的MRI图像和临床资料.结果:MRgFUS治疗的安全性和有效性受到肌瘤种类、位置,与盆腔邻近结构的关系、局部病变等诸多因素的影响.结论:术前盆腔MRI扫描筛选症状性子宫肌瘤患者,对于MRgFUS手术的成功至关重要.%Purpose:To give advice about how to select suitable patients in MR-guided focused ultrasound surgery (MRgFUS) of uterine fibroid by screening pelvic MRI.Methods:MRI image and clinical data of 30 fibroid patients who successfully complete the MRgFUS treatment in Huashan hospital were analyzeel retrospecitiely,and the literature was revieweed.Results:The safety and effective usage of MRgFUS was affected by fibroid type and location,position relative to adjacent anatomical structures and the presence of co-existent pelvic disease.Conclusion:Screening pelvic MRI for selection of patients,in whom sufficient fibroid volumes can be treated safely,using the MRgFUS system is critical for successful outcomes.