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首页> 外文期刊>International journal of hyperthermia: The official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group >MRI evaluation of endopelvic fascial swelling and analysis of influencing factors in patients with uterine fibroids after high-intensity focused ultrasound ablation
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MRI evaluation of endopelvic fascial swelling and analysis of influencing factors in patients with uterine fibroids after high-intensity focused ultrasound ablation

机译：高强度聚焦超声消融后子宫肌瘤患者内骨髓肌肉肿胀及影响因素的MRI评价

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Purpose: To evaluate endopelvic fascial swelling in patients with uterine fibroids after high-intensity focused ultrasound (HIFU) ablation on magnetic resonance imaging (MRI) and investigate the factors that influence endopelvic fascial swelling.Methods: MRI and clinical data from 188 patients with uterine fibroids who were treated with HIFU were analyzed retrospectively. The patients were divided into a fascial swelling group and a non-swelling group, and the degree of swelling was graded. Fascial swelling was set as the dependent variable, and factors such as baseline characteristics and HIFU parameters, were set as the independent variables. The relationship between these variables and fascial swelling was analyzed by univariate and multivariate analyses. Correlations between the factors and the degree of fascial swelling were evaluated by Kruskal-Wallis test.Results: The univariate analysis revealed that the fibroid location, distance from the fibroid to the sacrum, sonication time, treatment time, treatment intensity, therapeutic dose (TD), and energy efficiency (EEF) all affected the endopelvic fascial swelling (p??0.05). Subsequently, multivariate analysis showed that the distance from the fibroid to the sacrum was significantly correlated with fascial swelling (p??0.05). Moreover, TD and sonication time were significantly positively correlated with the degree of fascial swelling (p??0.05). The incidence of sacrococcygeal pain was significantly correlated with fascial swelling (p??0.05).Conclusion: The distance from the fibroid to the sacrum was a protective factor for fascial swelling. TD and sonication time were significantly positively correlated with the degree of fascial swelling.
机译：目的：在磁共振成像（MRI）上的高强度聚焦超声（HIFU）消融后，评估子宫肌瘤患者的内蛋白酶肌肉肿胀，并研究影响内骨膜筋膜肌肉肿胀的因素。方法：188例子宫患者的MRI和临床资料用HIFU治疗的肌瘤被回顾性分析。患者分为筋膜溶胀基团和非溶胀组，溶胀程度分级。将筋膜肿胀设定为从属变量，并且被设定为基线特性和HIFU参数等因素作为独立变量。通过单变量和多变量分析分析了这些变量和筋膜肿胀之间的关系。通过Kruskal-Wallis试验评估因子和筋膜肿胀程度之间的相关性：单变量分析显示，肌瘤位置，从肌瘤到骶骨的距离，超声处理时间，治疗时间，治疗强度，治疗剂量（TD ）和能效（EEF）都影响了内骨盆筋膜肿胀（p？<〜0.05）。随后，多变量分析表明，与肌瘤到骶骨的距离与筋膜肿胀显着相关（P？<β05）。此外，TD和超声时间与筋膜肿胀程度显着呈正相关（P？<→0.05）。骶骨心肌疼痛的发病率与筋膜肿胀有显着相关（p？<β05）。结论：肌瘤与骶骨的距离是迷恋肿胀的保护因素。 TD和超声时间与筋膜肿胀程度显着相关。

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