Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification

作者全名："Xu, Feng; Lin, Zhenjiang; Wang, Yangyang; Gong, Chunmei; He, Min; Guo, Qing; Wang, Zhibiao; Lian, Zhang"

作者地址："[Xu, Feng; Lin, Zhenjiang; Wang, Yangyang; Gong, Chunmei; He, Min; Guo, Qing; Wang, Zhibiao; Lian, Zhang] Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing 400016, Peoples R China; [Xu, Feng] Shijiazhuang Peoples Hosp, Dept Gynecol, Shijiazhuang, Peoples R China; [Lin, Zhenjiang] Zunyi Med Univ, Affiliated Hosp, Dept Gynecol, Zunyi, Peoples R China; [Wang, Yangyang; Gong, Chunmei; He, Min; Wang, Zhibiao; Lian, Zhang] Chongqing Haifu Hosp, Chongqing, Peoples R China; [Guo, Qing] Shijiazhuang Obstet & Gynecol Hosp, Shijiazhuang, Peoples R China"

通信作者："Wang, ZB; Lian, Z (通讯作者)，Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF HYPERTHERMIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000989249000001

JCR分区：Q2

影响因子：3

年份：2023

卷号：40

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Internal adenomyosis; external adenomyosis; dysmenorrhea; menorrhagia; high-intensity focused ultrasound

摘要："Objective To compare the safety and efficacy of high-intensity focused ultrasound (HIFU) treatment for patients with internal or external adenomyosis based on magnetic resonance imaging (MRI) classification. Materials and methods A total of 238 patients with internal adenomyosis and 167 patients with external adenomyosis who received HIFU treatment were enrolled. HIFU treatment results and adverse effects between patients with internal and external adenomyosis were compared. Results The treatment time and sonication time for patients with external adenomyosis were significantly longer than that for patients with internal adenomyosis. The total energy used and EEF for patients with external adenomyosis were higher than that for patients with internal adenomyosis (p < 0.05). The pre-HIFU median dysmenorrhea score in patients with internal or external adenomyosis was 5 or 8 points, the median score decreased to 1 or 3 points in these two groups at 18-month post-HIFU (p < 0.05). The relief rate of dysmenorrhea was 79.5% in patients with internal adenomyosis, and it was 80.8% in patients with external adenomyosis. The pre-HIFU median menorrhagia score in patients with internal or external adenomyosis was 4 or 3 points, the median score decreased to 1 point in both groups at 18-month post-HIFU with a relief rate of 86.2% and 77.1%, respectively (p = 0.030). No serious complication occurred in any of these patients. Conclusions HIFU is a safe and effective treatment either for patients with internal adenomyosis or external adenomyosis. It seemed that internal adenomyosis is easier to be treated with HIFU and with a higher relief rate of menorrhagia than external adenomyosis."

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