Efficacy of Transabdominal Ultrasound–guided Percutaneous Microwave Ablation in the Treatment of Symptomatic Adenomyosis: A Retrospective Cohort Study

医学 子宫腺肌病 子宫腺肌瘤 子宫肌瘤 可视模拟标度 生活质量(医疗保健) 子宫切除术 回顾性队列研究 微波消融 妇科 经皮 放射科 外科 内科学 子宫内膜异位症 子宫 护理部
作者
Li Shuiping,Zuolin Li,Min Lin,Xiaolian Li,Lei Gao,Jincheng Qiu,Jinghua He,Jiantang Zhang,Guorong Lyu
出处
期刊:Journal of Minimally Invasive Gynecology [Elsevier BV]
卷期号:30 (2): 137-146 被引量:7
标识
DOI:10.1016/j.jmig.2022.11.004
摘要

To evaluate and compare the clinical efficacy of transabdominal ultrasound-guided percutaneous microwave ablation (PMWA) in the treatment of symptomatic focal and nonfocal adenomyosis.Retrospective cohort study.Longyan First Affiliated Hospital of Fujian Medical University.From May 2019 to October 2021, 107 patients with symptomatic adenomyosis who refused hysterectomy received PMWA.Patients were divided into a focal group (n = 47, including 40 focal adenomyosis and 7 adenomyoma cases) and a nonfocal group (n = 60, including 36 diffuse and 24 mixed adenomyosis cases) according to the extent of lesion involvement.We collected and analyzed preoperative baseline data on patient characteristics; postoperative efficacy measures at 3, 6, and 12 months; and intraoperative and postoperative complications. There was a significant post-treatment reduction in the uterine corpus volume and cancer antigen 125 levels, an increase in hemoglobin levels, and an improvement in the Uterine Fibroid Symptom and Health-related Quality of Life scores (consisting of the Symptom Severity Scale and the Health-related Quality of Life scale), dysmenorrhea visual analog scale, and menstrual volume score (MVS) (all p <.05). One patient had recurrence. Most adverse events (72.0%) were mild. Although the nonfocal group had significantly greater anemia severity, higher Symptom Severity Scale and MVS, lower Health-related Quality of Life scale, greater extent and severity of myometrial involvement, and larger uterine corpus volume, after treatment, the uterine corpus volume, uterine corpus reduction rate, cancer antigen 125 levels, hemoglobin levels, Uterine Fibroid Symptom and Health-related Quality of Life score, dysmenorrhea visual analog scale, MVS score, and clinical response rate were similar between the groups (p >.05).PMWA had good, similar, short-term efficacy for symptomatic focal and nonfocal adenomyosis.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
消消消消气完成签到 ,获得积分10
刚刚
风趣惜霜完成签到,获得积分10
刚刚
1秒前
2秒前
2秒前
cbbb发布了新的文献求助10
3秒前
5秒前
5秒前
彭于晏应助111111111采纳,获得10
5秒前
7秒前
星辰大海应助郭小宝采纳,获得10
7秒前
万能图书馆应助倪小呆采纳,获得10
7秒前
7秒前
CANDYY发布了新的文献求助10
8秒前
wyl发布了新的文献求助30
8秒前
9秒前
重要英姑完成签到,获得积分10
9秒前
小蒋发布了新的文献求助10
10秒前
wztin发布了新的文献求助10
10秒前
jingwenli21发布了新的文献求助10
10秒前
杜科研发布了新的文献求助10
11秒前
Bio应助两只老鼠采纳,获得30
12秒前
12秒前
12秒前
12秒前
Dr_Chu发布了新的文献求助10
13秒前
14秒前
14秒前
14秒前
15秒前
Nxxxxxx完成签到,获得积分10
15秒前
dongdong发布了新的文献求助10
16秒前
16秒前
时臣的错完成签到,获得积分10
16秒前
17秒前
梦伶发布了新的文献求助50
17秒前
17秒前
郭小宝发布了新的文献求助10
18秒前
DrCoLd发布了新的文献求助10
18秒前
杜科研完成签到,获得积分10
18秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988827
求助须知:如何正确求助?哪些是违规求助? 3531183
关于积分的说明 11252671
捐赠科研通 3269809
什么是DOI,文献DOI怎么找? 1804780
邀请新用户注册赠送积分活动 881885
科研通“疑难数据库(出版商)”最低求助积分说明 809021