超声波治疗和子宫内装置
JAMA
|September 22, 1978
概括
目前,没有直接证据表明治疗性超声波会伤害带有金属宫内器械 (IUD) 的患者. 然而,由于治疗性超声波的潜在局部加热,建议谨慎使用,与诊断性超声波不同.
科学领域:
- 医学物理 医学物理
- 妇科 妇科医生 妇科
背景情况:
- 宫内避孕器 (IUD) 是一种常见的避孕药.
- 治疗性超声波用于腰部和腹部疼痛.
- 用金属IUD进行治疗超声波的安全性尚未得到充分证实.
研究的目的:
- 调查金属宫内器械 (IUD) 患者治疗超声波治疗的潜在危害.
主要方法:
- 文献综述和对超声波安全现有数据的分析.
- 考虑超声波与金属植入物相互作用的物理原理.
主要成果:
- 没有发现直接证据将传统的治疗性超声波水平与金属IUD患者的危害联系起来.
- 用于IUD定位的诊断超声波被认为是安全的.
- 治疗性超声波水平可能明显高于诊断水平.
结论:
- 虽然没有直接的伤害被记录在案,但由于超声波的模式转换,IUD部位的潜在局部加热是理论上的风险.
- 加热的程度是不可预测的,取决于处理参数.
- 在使用金属IUD患者的腹部或腰部进行治疗性超声波时,建议谨慎使用,直到有进一步的风险-益处证据为止.
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