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   제목   Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound.
   작성자   관리자     작성일   2016-01-05
   이메일       조회수   220
   첨부파일 없음 없음 없음
 
Int J Gynaecol Obstet. 2014 Mar;124(3):207-11. 


Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound.


Zhang X, Li K, Xie B, He M, He J, Zhang L.


State Key Laboratory of Ultrasound Engineering in Medicine Co-founded by Chongqing and the Ministry of 
Science and Technology, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China.

Department of Ultrasound, Huanggang Central Hospital, Hubei, China.

Department of Obstetrics and Gynecology, Suining Central Hospital, Sichuan, China.

State Key Laboratory of Ultrasound Engineering in Medicine Co-founded by Chongqing and the Ministry of 
Science and Technology, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China. 
Electronic address: lianwzhang@yahoo.com.

 


OBJECTIVE: To evaluate the effects of ultrasound-guided high-intensity focused ultrasound (HIFU) on 
adenomyosis.

 

METHODS: In a retrospective analysis, data were reviewed from 202 patients with adenomyosis who underwent 
ultrasound-guided HIFU between November 2010 and June 2012 at Suining Central Hospital, Sichuan, China. Among 
these patients, 120 and 82 were classified as having focal adenomyosis and diffuse adenomyosis, respectively. 
All patients underwent pre-treatment and post-treatment magnetic resonance imaging by a standardized protocol 
to evaluate the treatment. All ??????????adverse effects ???were recorded.

 

RESULTS: All patients completed the ultrasound-guided HIFU treatment in 1 session. A non-perfused volume 
ratio of 71.6%±19.1% was achieved. Compared with baseline data, the average menorrhagia severity score and 
the average dysmenorrhea severity pain score decreased significantly after ultrasound-guided HIFU (both 
P<0.001). The proportion of women with complete relief of dysmenorrhea at the 3-month follow-up was 
significantly higher among women with focal adenomyosis than among those with diffuse adenomyosis (P=0.02). 
No other significant differences were observed between the 2 patient groups.



CONCLUSION: Ultrasound-guided HIFU was found to be an effective technique for treating both focal and diffuse 
adenomyotic lesions to alleviate the symptoms of menorrhagia or dysmenorrhea.



PMID: 24380611



출처:  http://www.ncbi.nlm.nih.gov/pubmed/?term=24380611

   

 

하이푸를 이용한 자궁선근증의 효과적인 절제요법


목적: 자궁선근증에 대한 하이푸치료의 효과평가

 

방법: 회고적 분석상으로, 데이터는 쑤이닝중앙병원의 2010년 11월부터 2012년 6월 동안의 하이푸시술을 받은 자궁선근증 환자 202명
을 대상으로 검토되었다. 환자들은 120명의 국소적 자궁선근증과 82명의 확산적 자궁선근증으로 분류되었다. 모든 환자들은 치료의 평가
를 위해 하이푸시술 전과 후에 MRI검사를 받았다. 모든 부작용은 기록되었다. 





결과: 모든 환자들의 하이푸시술은 1회로 완료되었다. 비관류용적은 ??71.6%±19.1%를 달성하였다. 시술전의 데이터와 비교하여 평균 월경
과다증과 생리통은 시술후에 유의하게 감소되었다.  3개월 추적관리에서 생리통의 경감의 환자들의 비율은 국소적 자궁선근증 환자중에
서 확산성 자궁선근증 환자들에 비해 유의하게 더 높았다. 두 그룹의 다른 유의한 차이점은 관찰되지 않았다.. 


 

결론: 하이푸는 국소적 자궁선근증과 확산적 자궁선근증의 생리과다증과 생리통을 경감하는데 효과적인 기술이다.


[출처] Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound.

     
 
         

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