Geraci Laura, Napoli Alessandro, Catalano Carlo, Midiri Massimo, Gagliardo Cesare
Section of Radiological Sciences, Department of Biopathology and Medical Biotechnologies, University of Palermo, Palermo, Italy.
Radiology Section, Department of Radiological, Oncological and Anatomopathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Case Rep Radiol. 2017;2017:2520989. doi: 10.1155/2017/2520989. Epub 2017 May 3.
Uterine fibroids, the most common benign tumor in women of childbearing age, may cause symptoms including pelvic pain, menorrhagia, dysmenorrhea, pressure, urinary symptoms, and infertility. Various approaches are available to treat symptomatic uterine fibroids. Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) represents a recently introduced noninvasive safe and effective technique that can be performed without general anesthesia, in an outpatient setting. We review the principles of MRgFUS, describing patient selection criteria for the treatments performed at our center and we present a series of five selected patients with symptomatic uterine fibroids treated with this not yet widely known technique, showing its efficacy in symptom improvement and fibroid volume reduction.
子宫肌瘤是育龄期女性最常见的良性肿瘤，可能导致盆腔疼痛、月经过多、痛经、压迫感、泌尿系统症状及不孕等症状。治疗有症状的子宫肌瘤有多种方法。磁共振引导聚焦超声手术（MRgFUS）是一种新近引入的非侵入性安全有效技术，无需全身麻醉，可在门诊进行。我们回顾了MRgFUS的原理，描述了在我们中心进行治疗的患者选择标准，并展示了一系列五例经这种尚未广为人知的技术治疗的有症状子宫肌瘤患者，显示出其在改善症状和缩小肌瘤体积方面的疗效。
