Influential factors of high intensity focused ultrasound ablation for patients with uterine fibroid

Zhou Qiansong; Zhang Lian; He Jia; Huang Guohua; Bai Jin

doi:10.13406/j.cnki.cyxb.001131

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Influential factors of high intensity focused ultrasound ablation for patients with uterine fibroid

更新时间：2024-01-17

- Influential factors of high intensity focused ultrasound ablation for patients with uterine fibroid
- Journal of Chongqing Medical University Vol. 42, Issue 11, Pages: 1395-1399(2017)
- 作者机构：
  
  1. 重庆医科大学生物医学工程学院重庆市超声医学工程重点实验室重庆市生物医学工程学重点实验室
  2. 遂宁市中心医院妇产科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001131
  CLC： R737.33
- Published：2017，
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Zhou Qiansong, Zhang Lian, He Jia, et al. Influential factors of high intensity focused ultrasound ablation for patients with uterine fibroid. [J]. Journal of Chongqing Medical University 42(11):1395-1399(2017)
DOI：

Zhou Qiansong, Zhang Lian, He Jia, et al. Influential factors of high intensity focused ultrasound ablation for patients with uterine fibroid. [J]. Journal of Chongqing Medical University 42(11):1395-1399(2017) DOI： 10.13406/j.cnki.cyxb.001131.

摘要

目的:探讨影响推广应用子宫肌瘤高强度聚焦超声（high intensity focused ultrasound

HIFU）消融治疗的因素。方法:本研究数据资料来源于遂宁市中心医院妇产科

通过对2015年2月至2015年9月前往四川省遂宁市中心医院咨询的1121名子宫肌瘤患者的相关信息和影响因素进行分析

指导患者现场填写调查表格完成数据资料的收集

包括部分人口学相关信息、医院诊疗流程相关信息和子宫肌瘤患者症状程度等。统计学上采用多因素logistic回归分析和最大似然估计的向前逐步回归法（forward LR）对影响患者治疗选择的因素进行分析。结果:1 121位患者中最终进行HIFU治疗的患者399人

治疗比例为35.59%。多因素分析显示:医师本人是否推荐进行HIFU治疗（OR=4.519

95%CI=1.055

.438

P=0.049）、医师对HIFU的介绍是否规范（OR=2.202

95%CI=1.009

0.243

P=0.000）、患者是否了解子宫肌瘤的各项治疗方式（OR=1.629

95%CI=1.539

.153

P=0.006）、经济水平（OR=1.190

95%CI=1.044

.356

P=0.009）、医保种类（保险报销幅度）(OR=1.356

95%CI=1.168

.574

P=0.000)、症状程度（OR=1.232

95%CI=1.154

.300

P=0.008）与患者是否选择HIFU治疗相关。结论:医师本人是否推荐进行HIFU治疗、医师对HIFU的介绍是否规范、患者是否了解子宫肌瘤的各项治疗方式、经济水平、医保种类（保险报销幅度）、症状程度是影响患者选择HIFU治疗的因素。参考以上因素的影响

有助于HIFU应用的推广。

Abstract

Objective:To explore the influential factors of high intensity focused ultrasound for uterine fibroid. Methods:The data of this study came from the department of obstetrics and gynecology of Suining Central Hospital by instructing patients to fill out the form on site

including part of the demographic information

hospital treatment process related information and the degree of uterine fibroid symptoms. From February 2015 to September 2015

1121 patients with uterine fibroids in Suining Central Hospital were analyzed by multiple-factor logistic regression analysis（Forward LR）. Results:Totally 399 of 1121 patients（35.59%） were treated by high intensity focused ultrasound and the logistic regression analysis showed that six factors :doctor’s recommendation of HIFU（OR=4.519

95%CI=1.055 to 1.438

P=0.049）

doctor’s standardized introduction of HIFU（OR=2.202

95%CI=1.009 to 20.243

P=0.000）

understanding of various treatment modalities（OR=1.629

95%CI=1.539 to 3.153

P=0.006）

financial status（OR=1.190

95%CI=1.044 to 1.356

P=0.009）

type of insurance（different reimbursement rates of insurance）（OR=1.356

95%CI=1.168 to 1.574

P=0.000）

symptoms（OR=1.232

95%CI=1.154 to 2.300

P=0.008）were related with HIFU application. Conclusion:Doctor’s recommendation of HIFU

doctor’s standardized introduction of HIFU

understanding of various treatment modalities

financial status

type of insurance（different reimbursement rate of insurance）

symp toms are the key factors that affecting clinical application of HIFU. Reference to the influence of these factors contributes to the promotion of HIFU application.

关键词

子宫肌瘤逻辑回归分析高强度聚焦超声影响因素

Keywords

uterine myomalogistic regression analysishigh in tensity focused ultrasoundinfluential factors

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