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Periprocedural outcomes comparing fibroid embolization and focused ultrasound: a randomized controlled trial and comprehensive cohort analysis.比较子宫肌瘤栓塞术和聚焦超声的围手术期结局:一项随机对照试验和综合队列分析。
Am J Obstet Gynecol. 2017 May;216(5):500.e1-500.e11. doi: 10.1016/j.ajog.2016.12.177. Epub 2017 Jan 5.
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Management of Uterine Fibroids: A Focus on Uterine-sparing Interventional Techniques.子宫肌瘤的管理:关注保留子宫的介入技术。
Radiology. 2016 Sep;280(3):675-92. doi: 10.1148/radiol.2016141693.
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PROMISe trial: a pilot, randomized, placebo-controlled trial of magnetic resonance guided focused ultrasound for uterine fibroids.PROMISe试验:一项关于磁共振引导聚焦超声治疗子宫肌瘤的先导性、随机、安慰剂对照试验。
Fertil Steril. 2016 Mar;105(3):773-780. doi: 10.1016/j.fertnstert.2015.11.014. Epub 2015 Dec 1.
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Incidence of additional treatments in women treated with MR-guided focused US for symptomatic uterine fibroids: review of 138 patients with an average follow-up of 2.8 years.磁共振引导聚焦超声治疗有症状子宫肌瘤的女性患者额外治疗的发生率:138例患者的回顾性研究,平均随访2.8年。
J Vasc Interv Radiol. 2014 Oct;25(10):1506-12. doi: 10.1016/j.jvir.2014.05.012. Epub 2014 Jul 3.
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Safety and therapeutic efficacy of complete or near-complete ablation of symptomatic uterine fibroid tumors by MR imaging-guided high-intensity focused US therapy.磁共振成像引导下高强度聚焦超声治疗对有症状的子宫肌瘤进行完全或接近完全消融的安全性和治疗效果
J Vasc Interv Radiol. 2014 Feb;25(2):231-9. doi: 10.1016/j.jvir.2013.11.011. Epub 2013 Dec 19.
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Outcome of uterine artery embolization versus MR-guided high-intensity focused ultrasound treatment for uterine fibroids: long-term results.子宫动脉栓塞术与磁共振引导高强度聚焦超声治疗子宫肌瘤的疗效比较:长期结果。
Eur J Radiol. 2013 Dec;82(12):2265-9. doi: 10.1016/j.ejrad.2013.08.045. Epub 2013 Sep 3.
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Pelvic applications of MR-guided high intensity focused ultrasound.磁共振引导下高强度聚焦超声在盆腔的应用
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磁共振引导聚焦超声治疗有症状子宫肌瘤的研究进展

Updates on MR-Guided Focused Ultrasound for Symptomatic Uterine Fibroids.

作者信息

Sridhar Divya, Kohi Maureen P

机构信息

Department of Radiology, NYU Langone Health, New York, New York.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, California.

出版信息

Semin Intervent Radiol. 2018 Mar;35(1):17-22. doi: 10.1055/s-0038-1636516. Epub 2018 Apr 5.

DOI:10.1055/s-0038-1636516
PMID:29628611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5886770/
Abstract

Magnetic-resonance-guided focused ultrasound (MRgFUS), also called high-intensity focused ultrasound (HIFU) is an effective, noninvasive uterine-preserving treatment for symptomatic uterine fibroids. As the use of this therapeutic modality is not yet widespread, it may remain unfamiliar to many interventional radiologists. The purpose of this review is to discuss MRgFUS, including technology, patient selection, technique, outcomes, complications, and recent data on fertility and comparative effectiveness.

摘要

磁共振引导聚焦超声(MRgFUS),也称为高强度聚焦超声(HIFU),是一种治疗有症状子宫肌瘤的有效、无创且保留子宫的治疗方法。由于这种治疗方式的使用尚未广泛普及,许多介入放射科医生可能对此仍不熟悉。本综述的目的是讨论MRgFUS,包括技术、患者选择、操作方法、治疗效果、并发症以及关于生育能力和比较疗效的最新数据。