Clinical significance of bladder training in preoperative localization of high-intensity focused ultrasound ablation of uterine fibroids.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-01 Epub Date: 2022-12-08 DOI:10.5603/GP.a2022.0142
Xiaofei He, Sha Liao
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Abstract

Objectives: High-intensity focused ultrasound (HIFU) is widely used to treat uterine fibroids. HIFU preoperative localization of uterine fibroids can be used to determine whether the patient is a suitable candidate for HIFU treatment. This study investigated the clinical significance of bladder training in improving the success rate of HIFU preoperative localization uterine fibroids.

Material and methods: Our sample consists of patients who planned to undergo HIFU treatment in our hospital but who were failed in previous HIFU preoperative localization. They were recruited between July 2021 and April 2022, and randomly divided into experimental and control groups. A total of 150 patients were enrolled. Each group consisted of 75 patients. The patients in the experimental group adopted the procedure of drinking water multiple times and retaining urine. The training program lasted three days. The patients in the control group were required to keep regular drinking and urination habits without any special instructions or requirements.

Results: There were no statistically significant differences between the two groups in maximum bladder capacity, residual urine volume of bladder, bladder filling levels, and bladder shape change. After bladder training, the maximum bladder capacity and the degree bladder shape change of the patients in the experimental group were improved significantly. The success rate of HIFU preoperative localization in the patients in the experimental group was significantly higher than that of the control group.

Conclusions: Bladder training can effectively improve the success rate of HIFU preoperative localization of uterine fibroids.

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膀胱训练在子宫肌瘤高强度聚焦超声消融术术前定位中的临床意义。
目的:高强度聚焦超声(HIFU)被广泛用于治疗子宫肌瘤。HIFU 术前子宫肌瘤定位可用于确定患者是否适合接受 HIFU 治疗。本研究探讨了膀胱训练对提高 HIFU 术前定位子宫肌瘤成功率的临床意义:我们的样本包括计划在我院接受 HIFU 治疗但之前 HIFU 术前定位失败的患者。他们在 2021 年 7 月至 2022 年 4 月期间被招募,并随机分为实验组和对照组。共招募了 150 名患者。每组 75 名患者。实验组患者采用多次饮水和保留尿液的方法。训练计划持续三天。对照组患者只需保持规律的饮水和排尿习惯,无需任何特殊说明或要求:结果:两组患者在最大膀胱容量、膀胱残余尿量、膀胱充盈度和膀胱形状变化方面的差异无统计学意义。膀胱训练后,实验组患者的最大膀胱容量和膀胱形状变化程度均有明显改善。实验组患者的 HIFU 术前定位成功率明显高于对照组:膀胱训练能有效提高子宫肌瘤 HIFU 术前定位的成功率。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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