磁共振引导聚焦超声手术治疗子宫肌瘤相关不孕。
Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility.
机构信息
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
Fertil Steril. 2011 Jul;96(1):e9-e12. doi: 10.1016/j.fertnstert.2011.04.056. Epub 2011 May 13.
OBJECTIVE
To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility.
DESIGN
Case report from a randomized clinical trial.
SETTING
Academic medical center.
PATIENT(S): A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor.
INTERVENTION(S): Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity.
MAIN OUTCOME MEASURE(S): Pregnancy.
RESULT(S): A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle.
CONCLUSION(S): The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further.
目的
描述磁共振引导聚焦超声手术（FUS）作为治疗子宫肌瘤相关不孕的一种方法。
设计
随机临床试验的病例报告。
地点
学术医疗中心。
患者
一名 37 岁的女性，患有已知的子宫肌瘤，并经历了 18 个月的来自已知供体的家庭内授精。
干预
磁共振引导 FUS 治疗子宫肌瘤，其中主要的肌瘤使子宫腔变形。
主要观察指标
妊娠。
结果
在接受了一次氯米芬枸橼酸盐和宫腔内人工授精周期后，成功妊娠并足月阴道分娩。
结论
对于非宫腔镜可切除的子宫肌瘤扭曲子宫腔的女性，FUS 增强生育力的作用需要进一步研究。
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