Impact factors of abdominal wall edema degree after HIFU for uterine leiomyoma
10.13929/j.issn.1672-8475.2025.03.005
- VernacularTitle:HIFU治疗子宫平滑肌瘤后腹壁水肿程度的影响因素
- Author:
Junshu LI
1
;
Yong WANG
;
Ligang WANG
;
Liang WANG
;
Changqing PAN
;
Chengqiu QI
Author Information
1. 电子科技大学医学院附属绵阳医院·绵阳市中心医院妇产科,四川 绵阳 621000;重庆医科大学生物医学工程学院,超声医学与工程国家重点实验室,重庆 400016
- Publication Type:Journal Article
- Keywords:
uterine neoplasms;
leiomyoma;
high-intensity focused ultrasound ablation;
magnetic resonance imaging
- From:
Chinese Journal of Interventional Imaging and Therapy
2025;22(3):173-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the impact factors of abdominal wall edema degree after high intensity focused ultrasound(HIFU)ablation for uterine leiomyoma(UL).Methods Totally 128 patients with solitary UL who underwent HIFU were retrospectively enrolled.Edema degree of abdominal wall showed on T2WI were classified into grade Ⅰ,Ⅱand Ⅲ according to the involved layers and subcutaneous indurations.Patients'general data,MRI characteristics of UL,HIFU parameters and adverse reactions were compared among grades.Multinomial logistic regression analysis was used to screen the impact factors of edema degree.Results Among 128 patients,grade Ⅰ edema was found in 79 cases(79/128,61.72%),while grade Ⅱ and Ⅲ were observed in 27(27/128,21.09%)and 22(22/128,17.19%)cases,respectively.Compared with patients with grade Ⅲ edema,those with grades Ⅰ and Ⅱ had lower body mass index(BMI),and patients with grade Ⅰ edema had decreased subcutaneous fat thickness and decreased total thickness of subcutaneous fat and muscle layers(both adjusted P＜0.05).The proportion of abdominal scars in patients with grade Ⅰedema was lower than that with grade Ⅱ(adjusted P＜0.05).No significant difference of MRI findings of UL before HIFU nor HIFU parameters was noticed among different grades of edema(all P＞0.05).BMI and abdominal scar were both impact factors for distinguishing grade Ⅰ and Ⅲ,while BMI was the impact factor for distinguishing grade Ⅱ and Ⅲ edema after HIFU for UL(all P＜0.05).Conclusion BMI and abdominal scar were both impact factors for abdominal wall edema degree after HIFU for UL.
