Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Best Pract Res Clin Obstet Gynaecol. 2018 Jan;46:74-83. doi: 10.1016/j.bpobgyn.2017.09.002. Epub 2017 Oct 3.
High-intensity focused ultrasound therapy has received increasing interest in the management of benign uterine tumors. Either magnetic resonance or ultrasound imaging has been used to target and monitor the ablation process. This article provides an overview of the background, clinical use, treatment outcomes, and safety of high-intensity focused ultrasound in the treatment of uterine fibroids and adenomyosis, including a summary of clinical trials comparing magnetic resonance- or ultrasound-guided high-intensity focused ultrasound with other minimally invasive or surgical interventions. The potential of this treatment modality as an alternative uterus-sparing option for women with fibroids and adenomyosis is discussed.
高强度聚焦超声治疗在良性子宫肿瘤的治疗中受到越来越多的关注。磁共振或超声成像已被用于靶向和监测消融过程。本文概述了高强度聚焦超声治疗子宫肌瘤和子宫腺肌病的背景、临床应用、治疗效果和安全性，包括比较磁共振或超声引导高强度聚焦超声与其他微创或手术干预的临床试验的总结。讨论了这种治疗方式作为一种保留子宫的替代选择，适用于患有子宫肌瘤和子宫腺肌病的女性的潜力。
