Obstetrics and Gynecology, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
Obs&gyne and uro-gynecologist Dubai Health Latifa hospital, Dubai, United Arab Emirates Consultant Obs&gyne and uro-gynecologist Dubai Health-Latifa hospital Chairperson of scientific committee of Obs&gyne Emirati board In NIHS-UAE University.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241295593. doi: 10.1177/17455057241295593.
The management of adenomyosis has undergone significant evolution, moving from traditional surgical interventions like hysterectomy to more conservative methods aimed at preserving fertility. Essential roles have been played by uterine-sparing surgeries and uterine artery embolization. Despite these advancements, there is a growing interest in less invasive alternatives. This review delves into the potential of high-intensity focused ultrasound (HIFU). HIFU employs focused ultrasound waves for precise ablation of adenomyotic lesions. The review conducts a thorough analysis of HIFU principles, safety, efficacy, and its possible synergies with other therapies. HIFU seems to be effective for adenomyosis treatment, demonstrating a favorable adverse effect profile and suitability for fertility preservation. Combining HIFU with hormonal treatment appears to enhance long-term symptom control, presenting a promising and comprehensive approach for managing adenomyosis. The goal of this article is to develop a comprehensive understanding of HIFU's role in contemporary adenomyosis management and to explore areas requiring further research.
子宫腺肌病的管理已经发生了重大演变，从传统的手术干预（如子宫切除术）转向更保守的方法，旨在保留生育能力。子宫保留手术和子宫动脉栓塞术发挥了重要作用。尽管取得了这些进展，但人们对微创替代方法的兴趣日益浓厚。本综述探讨了高强度聚焦超声（HIFU）的潜力。HIFU 采用聚焦超声波对子宫腺肌病病灶进行精确消融。本综述对 HIFU 的原理、安全性、疗效及其与其他疗法的协同作用进行了全面分析。HIFU 似乎对子宫腺肌病的治疗有效，具有良好的不良反应谱，适合于生育力保存。将 HIFU 与激素治疗相结合似乎可以增强长期症状控制，为子宫腺肌病的管理提供了一种有前途且全面的方法。本文的目的是全面了解 HIFU 在当代子宫腺肌病管理中的作用，并探讨需要进一步研究的领域。
