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磁共振引导聚焦超声手术治疗子宫肌瘤和子宫腺肌病：一种替代性非血管介入方法

Magnetic Resonance-Guided Focused Ultrasound Surgery for Leiomyoma and Adenomyosis: An Alternative Nonvascular Approach.

作者信息

Nguyen Minh Duc

机构信息

Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.

出版信息

Gynecol Minim Invasive Ther. 2019 Oct 24;8(4):196-198. doi: 10.4103/GMIT.GMIT_19_19. eCollection 2019 Oct-Dec.

DOI:10.4103/GMIT.GMIT_19_19
PMID:31741850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6849101/
Abstract

Magnetic resonance-guided high-intensity focused ultrasound (MRgFUS) surgery is a promisingly alternative method for the treatment of symptomatic leiomyoma and adenomyosis. In this article, we mainly aim to introduce two totally typical patients with leiomyoma and adenomyosis who underwent MRgFUS surgery successfully without any severe complications at our interventional radiology center. Our results revealed that focused ultrasound surgery is an innovatively safe and nonvascular approach which should be taken into consideration for the treatment of patients with symptomatic leiomyoma and adenomyosis.

摘要

磁共振引导下高强度聚焦超声（MRgFUS）手术是一种治疗有症状子宫肌瘤和子宫腺肌病的很有前景的替代方法。在本文中，我们主要旨在介绍两名患有子宫肌瘤和子宫腺肌病的典型患者，他们在我们的介入放射学中心成功接受了MRgFUS手术，且未出现任何严重并发症。我们的结果表明，聚焦超声手术是一种创新的安全且非血管性的方法，对于有症状子宫肌瘤和子宫腺肌病患者的治疗应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/6849101/c8e3092502a7/GMIT-8-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/6849101/c681c52998f5/GMIT-8-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/6849101/c8e3092502a7/GMIT-8-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/6849101/c681c52998f5/GMIT-8-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/6849101/c8e3092502a7/GMIT-8-196-g002.jpg

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本文引用的文献

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Magnetic resonance imaging features influencing high-intensity focused ultrasound ablation of adenomyosis with a nonperfused volume ratio of ≥90% as a measure of clinical treatment success: retrospective multivariate analysis.磁共振成像特征对高强度聚焦超声消融子宫腺肌病的影响，以非灌注体积比≥90%作为临床治疗成功的衡量标准：回顾性多因素分析。
Int J Hyperthermia. 2018;35(1):626-636. doi: 10.1080/02656736.2018.1516301. Epub 2018 Oct 11.
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Magnetic Resonance Imaging Parameters in Predicting the Treatment Outcome of High-intensity Focused Ultrasound Ablation of Uterine Fibroids With an Immediate Nonperfused Volume Ratio of at Least 90.磁共振成像参数在预测高强度聚焦超声消融治疗子宫肌瘤中即时非灌注体积比至少 90%的治疗效果。
Acad Radiol. 2018 Oct;25(10):1257-1269. doi: 10.1016/j.acra.2018.01.022. Epub 2018 Mar 7.
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高强度聚焦超声治疗子宫肌瘤：新加坡的单中心经验
Gynecol Minim Invasive Ther. 2023 Feb 9;12(1):15-25. doi: 10.4103/gmit.gmit_102_22. eCollection 2023 Jan-Mar.
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A Proposed High-intensity Focused Ultrasound Training Program in Hong Kong.香港一项拟议的高强度聚焦超声培训计划。
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):1-6. doi: 10.4103/GMIT.GMIT_40_21. eCollection 2022 Jan-Mar.
Changes in anti-müllerian hormone levels as a biomarker for ovarian reserve after ultrasound-guided high-intensity focused ultrasound treatment of adenomyosis and uterine fibroid.超声引导高强度聚焦超声治疗子宫腺肌病和子宫肌瘤后抗苗勒管激素水平作为卵巢储备标志物的变化。
BJOG. 2017 Aug;124 Suppl 3:18-22. doi: 10.1111/1471-0528.14739.
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The role of T1 perfusion-based classification in magnetic resonance-guided high-intensity focused ultrasound ablation of uterine fibroids.基于 T1 灌注的分类在磁共振引导高强度聚焦超声消融子宫肌瘤中的作用。
Eur Radiol. 2017 Dec;27(12):5299-5308. doi: 10.1007/s00330-017-4885-x. Epub 2017 Jun 14.
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Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound.超声引导高强度聚焦超声治疗子宫腺肌病的疗效。
Int J Gynaecol Obstet. 2014 Mar;124(3):207-11. doi: 10.1016/j.ijgo.2013.08.022. Epub 2013 Dec 4.
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