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目的观察彩色多普勒超声引导下经皮瘤内注射无水乙醇(PEIT)治疗子宫肌瘤的疗效。方法对79例子宫肌瘤患者采用超声引导下PEIT治疗,术后3、6、12个月分别观察肌瘤体积、内部血流及临床症状改善情况。结果 PEIT后3、6、12个月子宫体积和肌瘤体积分别缩小为50.2%、64.3%、67.6%、67.6%、52.9%、71.9%、73.4%。彩色多普勒血流显示肌瘤内部及周边血流明显减少,月经量明显减少,贫血症状显著改善。结论 PEIT治疗子宫肌瘤操作简便、安全有效。
Objective To observe the curative effect of transcutaneous intratumoral injection of absolute ethanol (PEIT) guided by color Doppler ultrasound in the treatment of uterine myoma. Methods 79 patients with uterine leiomyoma were treated with ultrasound guided PEIT. The volume, internal blood flow and clinical symptoms were observed at 3, 6 and 12 months after operation. Results The volume of uterus and fibroids in 3, 6 and 12 months after PEIT were reduced to 50.2%, 64.3%, 67.6%, 67.6%, 52.9%, 71.9% and 73.4%, respectively. Color Doppler flow showed fibroids within and around the blood flow was significantly reduced, significantly reduced menstrual flow, anemia symptoms significantly improved. Conclusion PEIT treatment of uterine fibroids is simple, safe and effective.