高强度聚焦超声联合中药二期疗法治疗子宫腺肌病理论探讨
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R711.74

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2019年度成都中医药大学“杏林学者”学科人才科研提升计划(XSGG2019018);成都中医药大学附属医院科技发展基金项目(20-YO9)


Theoretical Discussion on High Intensity Focused Ultrasound Combined with Two- Phrase Chinese Medicine Therapy for Adenomyosis
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    摘要:

    针对高强度聚焦超声(HIFU) 治疗子宫腺肌病(AM) 术后的不良反应、临床症状缓解较慢、坏死病灶吸收困难,以及HIFU 治疗本身对患者中医病机及证候表现的影响,提出HIFU 联合中药二期疗法治疗AM。通过前期观察,发现HIFU 治疗对AM 的病机产生的影响主要体现在HIFU 术中患者感受高热后所带来的证候表现的短期变化。笔者以“热邪郁积”之征是否明显,将其分为消融早期和消融晚期进行论治,临床观察已初见疗效,可有效缓解患者的术后不适,改善痛经、月经过多等临床症状,从而提高了HIFU 治疗AM 的疗效。

    Abstract:

    Abstract: The treatment of high intensity focused ultrasound (HIFU) combined with two- phrase Chinese medicine therapy for adenomyosis (AM) was put forward based on postoperative adverse reactions of HIFU treating AM,slow clinical symptom remission,difficult absorption of necrosis lesions,and effects of HIFU on Chinese medicine disease mechanism and syndrome manifestations in patients. Through the previous observations,it was found that the effects of HIFU treatment on the disease mechanism of AM were mainly reflected in the short-term changes in the syndrome manifestations that came after the patients experienced intense heat during HIFU. Based on the obviousness degree of signs of heat-accumulationand obstruction, the authors propose a staging treatment which includes early stage of ablation treatment and late stage of ablation treatment. Early curative effect is showed according to clinical observation. It can effectively relieve postoperative discomfort and improve clinical symptoms of dysmenorrhea and menorrhagia,thereby improving the curative effect of HIFU on AM.

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范玲秀,张满丽,周奕含,王妍,尹小兰,文怡.高强度聚焦超声联合中药二期疗法治疗子宫腺肌病理论探讨[J].新中医,2022,54(6):192-196

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  • 在线发布日期: 2022-03-25
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