Yoon Sang-Wook, Kim Kyoung Ah, Kim Sang Heum, Lee Jong Tae
Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Gyunggi-do 463-712, Republic of Korea.
Obstet Gynecol Int. 2010;2010. doi: 10.1155/2010/351273. Epub 2010 Aug 16.
A 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk of arterial perforation during repeated UAE procedures. The patient was subsequently referred for magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) treatment. Following the treatment, the patient experienced a significant improvement in symptoms (symptom severity score was reduced from 47 to 12 by 1 year post-treatment). MR images at 3 months showed a 49% decrease in fibroid volume. There were no adverse events during the treatment or the follow-up period. This case suggests that MRgFUS can be an effective treatment option for patients with recurrent fibroids following previous UAE treatment.
一名45岁的绝经前女性在接受子宫动脉栓塞术（UAE）九年后，因子宫肌瘤反复出现症状而被转诊至我们的诊所。在筛查时，患者出现双侧子宫动脉损伤和狭窄，这增加了重复进行UAE手术时动脉穿孔的风险。该患者随后被转诊接受磁共振成像引导聚焦超声手术（MRgFUS）治疗。治疗后，患者症状有显著改善（治疗后1年症状严重程度评分从47降至12）。3个月时的磁共振图像显示肌瘤体积减少了49%。治疗期间及随访期均未出现不良事件。该病例表明，MRgFUS对于先前接受过UAE治疗后复发肌瘤的患者可能是一种有效的治疗选择。
