基于MRI及临床参数预测子宫肌瘤高强度聚焦超声术后复发的效能

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【中图分类号】R445.2；R713.4 【文献标识码】A 【文章编号】2096-2665.2025.19.0022.04

DOI：10.3969/j.issn.2096-2665.2025.19.008

Theefficacyofpredictingtherecurrenceofuterinefbroidsafterhigh-intensityfocusedultrasoundsurgerybasedonMRIand clinical parameters

CHEN Huanqun 1，2 ，CAI Guanhui，*，SUHongbang²，ZHONGWeida²

（1.SantouUitiallgetdoa;oloept，dlofHuizhou，udgi;dlogepatHotalle'soial，oudo516001，China）

【Abstract】ObectiveToanalzetheefcacyofMIanditsclinicalparameters inpredictingtherecuenceofuterinefbroidsafter high-intensityeddUydidlsiointospil wasconductedonteliicaldataof64patitsituterinefoidsoundewentMexamiatioandHFUtreatmetatteTidPeople's HospitalofHuzoubtwnJaarydarch4Basdoheueeasatlstfollwutheptientsedvidedto arecurencegroup（5ases）andnon-recurcegoup（9cases）.ThelicaldataMIprametersndothrcliicalparaeterswere comparedbetweentetwogroups.depenentiskfactorsectingpostoperativerecuenceofuterinefboidsafterHFUweeaalyed. BasednelsltsctelucedeetiacesticOoe thepredictiveefacyofteodelforpostopeativeeurfuteineodsResultseueegropsodsigatlyier proportionofkdlydidgiseolallatsaedoalalld enhancementtcsssellswbaedblaiateghersticiufamatode（SI）esoer total treatment time， and higher treatment dose （all P<0.05 ）.Multivariate logistic analysis revealed that increased distance to the abdominal wall cortex，thickedctdeatedredepdtsctosfocueitsis whileahigherablationrate served asa protective factor （all P<0.05 ）.TheROC curve analysisresults showed that the areaunder thecurve （AUC）ofthepredictiveodelforpredictig teecueceofuteiefrodsaferHUsugeryas0886witasesitivityof9ada specificity of 0.862 （P<0.05 ）.ConclusionMRIparameters suchas the distance from the abdominal wall，cortical thickness，rimenhancement thickness， as well as sII andthe ablationrate，areallindependent riskfactors foruterine fibroidrecurrence afterHIFU therapy.Theprediction modelstablishdasdonandliicalparametersdemostrateshghaccuracypredictigpostoeratierecureeofuteneoids 【Keywords】UterineFibroids;HghintesityFocusedUtrasond;MagneticResoanceImaging;ClinicalParameters;Reurce

目前，子宫肌瘤的治疗以手术为主，高强度聚焦超声（HIFU）通过精准热消融实现微创治疗，然而部分患者术后仍存在复发风险[。（剩余4635字）