不同年龄段子宫肌瘤患者接受 USgHIFU 后的长期再干预及 NPVR 预测。

IF 3 3区 医学 Q2 ONCOLOGY International Journal of Hyperthermia Pub Date : 2024-01-01 Epub Date: 2024-01-23 DOI:10.1080/02656736.2024.2304264
Shuang Li, Wang-Wa Ma, Mei-Jie Yang, Yong-Bin Deng, Liang Hu, Jin-Yun Chen
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引用次数: 0

摘要

目的:报告了超声引导下高强度聚焦超声(USgHIFU)消融术后的长期再干预情况,并探讨了不同年龄子宫肌瘤(UFs)患者非灌注容积比(NPVR)的预测:入选2012年1月至2019年12月接受USgHIFU消融术的子宫肌瘤患者,分为<40岁组、≥40岁组。采用Cox回归分析再介入率的影响因素,并采用接收者操作特征曲线(ROC)分析NPVR与再介入率的相关性:共有2141名患者入组,1558名患者成功接受了随访。10年累计再介入率为21.9%,年龄小于40岁组的再介入率明显高于年龄≥40岁组(30.8% vs. 19.1%,P 结论:USgHIFT的远期疗效优于NPVR:USgHIFU 的长期疗效令人乐观。不同年龄患者的再次介入率与 NPVR 有关。年轻患者需要较高的 NPVR 以降低再介入风险。
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Long-term re-intervention after USgHIFU and prediction of NPVR in different ages of patients with uterine fibroids.

Objective: Long-term re-intervention after ultrasound-guided high intensity focused ultrasound (USgHIFU) ablation was reported, and the prediction of non-perfusion volume ratio (NPVR) in differently aged patients with uterine fibroids (UFs) was explored.

Materials and methods: Patients with UFs who underwent USgHIFU ablation from January 2012 to December 2019 were enrolled and divided into < 40-year-old and ≥ 40-year-old groups. Cox regression was used to analyze the influencing factors of re-intervention rate, and receiver operating characteristic (ROC) curve was used to analyze the correlation between NPVR and re-intervention rate.

Results: A total of 2141 patients were enrolled, and 1558 patients were successfully followed up. The 10-year cumulative re-intervention rate was 21.9%, and the < 40-year-old group had a significantly higher rate than the ≥ 40-year-old group (30.8% vs. 19.1%, p < 0.001). NPVR was an independent risk factor in both two groups. When the NPVR reached 80.5% in the < 40-year-old group and 75.5% in the ≥ 40-year-old group, the risk of long-term re-intervention was satisfactory.

Conclusion: The long-term outcome of USgHIFU is promising. The re-intervention rate is related to NPVR in differently aged patients. Young patients need a high NPVR to reduce re-intervention risk.

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来源期刊
CiteScore
5.90
自引率
12.90%
发文量
153
审稿时长
6-12 weeks
期刊介绍: The International Journal of Hyperthermia
期刊最新文献
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