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两例患者采用磁共振引导聚焦超声对局限性子宫腺肌病进行无创治疗。

Noninvasive treatment of focal adenomyosis with MR-guided focused ultrasound in two patients.

作者信息

Polina Laveena, Nyapathy Vinay, Mishra Anindita, Yellamanthili Himabindu, Vallabhaneni Mythri P

机构信息

Department of Radiology, Godavari Imaging Sciences and Research Center, Rajahmundry, Andhra Pradesh, India.

出版信息

Indian J Radiol Imaging. 2012 Apr;22(2):93-7. doi: 10.4103/0971-3026.101078.

DOI:10.4103/0971-3026.101078
PMID:23162249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3498648/
Abstract

Adenomyosis is a common benign gynecological disorder presenting with dysmenorrhea, menorrhagia, and pressure symptoms. Magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) utilizes precisely focused USG waves to generate and maintain high temperatures within the targeted tissue to achieve protein denaturation and coagulative necrosis. The heat generated is monitored using MRI images acquired in real-time in three planes. We present two cases of focal adenomyosis treated with MRgFUS showing good symptomatic relief at 3 and 6 months follow-up.

摘要

子宫腺肌病是一种常见的良性妇科疾病，表现为痛经、月经过多和压迫症状。磁共振成像引导聚焦超声手术（MRgFUS）利用精确聚焦的超声（USG）波在目标组织内产生并维持高温，以实现蛋白质变性和凝固性坏死。利用在三个平面实时采集的MRI图像监测产生的热量。我们报告了两例接受MRgFUS治疗的局灶性子宫腺肌病病例，在3个月和6个月的随访中症状得到明显缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/bf3954f5ae30/IJRI-22-93-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/c40e87003075/IJRI-22-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/5ea8917e2e66/IJRI-22-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/e43eaba910ce/IJRI-22-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/c6bb01c500d7/IJRI-22-93-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/6c0bced0ec36/IJRI-22-93-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/cdecf57ef4c2/IJRI-22-93-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/7c736b5e5b66/IJRI-22-93-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/bf3954f5ae30/IJRI-22-93-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/c40e87003075/IJRI-22-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/5ea8917e2e66/IJRI-22-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/e43eaba910ce/IJRI-22-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/c6bb01c500d7/IJRI-22-93-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/6c0bced0ec36/IJRI-22-93-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/cdecf57ef4c2/IJRI-22-93-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/7c736b5e5b66/IJRI-22-93-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/3498648/bf3954f5ae30/IJRI-22-93-g008.jpg

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本文引用的文献

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Fertil Steril. 2011 Mar 1;95(3):1152-5. doi: 10.1016/j.fertnstert.2010.09.024.
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Successful use of magnetic resonance-guided focused ultrasound surgery to relieve symptoms in a patient with symptomatic focal adenomyosis.成功运用磁共振引导聚焦超声手术缓解症状性局灶性子宫腺肌病患者的症状。
Fertil Steril. 2008 Nov;90(5):2018.e13-5. doi: 10.1016/j.fertnstert.2008.05.028. Epub 2008 Aug 9.
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Current status of high-intensity focused ultrasound for the management of uterine adenomyosis.高强度聚焦超声治疗子宫腺肌病的现状
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Three-axis MR-conditional robot for high-intensity focused ultrasound for treating prostate diseases transrectally.用于经直肠高强度聚焦超声治疗前列腺疾病的三轴磁共振条件兼容机器人。
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