经皮冷冻消融治疗有症状的腹部瘢痕子宫内膜异位症：初步报告。
Percutaneous cryoablation of symptomatic abdominal scar endometrioma: initial reports.
作者信息
Cornelis F, Petitpierre F, Lasserre A S, Tricaud E, Dallaudière B, Stoeckle E, Le Bras Y, Bouzgarrou M, Brun J L, Grenier N
机构信息
Department of Radiology, Pellegrin Hospital, Place Amélie Raba Léon, 33076, Bordeaux, France,
出版信息
Cardiovasc Intervent Radiol. 2014 Dec;37(6):1575-9. doi: 10.1007/s00270-014-0843-z. Epub 2014 Jan 25.
PURPOSE
The purpose of this preliminary study was to report the short-term local control of percutaneous image-guided cryoablation of localized symptomatic abdominal scar endometrioma.
METHODS
Four consecutive patients (mean age 34.5 years) with a total of ten lesions were included, with mean preoperative pain of 7 (range 5-9) on the visual analog scale. Cryoablation was performed in a single session under general anesthesia.
RESULTS
Postoperative superficial edema disappeared within 2 weeks for all patients. No severe complications (>grade 2 according to the CTCAE classification) were reported. Mean postoperative pain was 1.7 at 6 months (range 0-5) and magnetic resonance imaging demonstrated a significant volume decrease for all patients (range 72.2-100%; p = 0.028).
CONCLUSIONS
Percutaneous cryoablation shows promising local control in patients with symptomatic abdominal wall endometriosis.
目的
本初步研究的目的是报告经皮影像引导下冷冻消融治疗局限性有症状的腹壁子宫内膜异位症的短期局部控制情况。
方法
纳入连续4例患者（平均年龄34.5岁），共10个病灶，术前视觉模拟评分平均疼痛为7分（范围5 - 9分）。在全身麻醉下单次进行冷冻消融。
结果
所有患者术后浅表水肿在2周内消失。未报告严重并发症（根据CTCAE分类>2级）。术后6个月平均疼痛为1.7分（范围0 - 5分），磁共振成像显示所有患者病灶体积均显著减小（范围72.2% - 100%；p = 0.028）。
结论
经皮冷冻消融在有症状的腹壁子宫内膜异位症患者中显示出良好的局部控制效果。
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