Factors influencing treatment decisions in HIFU treatment of adenomyosis: A retrospective study

作者全名："Zhong, Qiao; Yang, Mei-Jie; Hu, Yan; Jiang, Li; Yu, Jing-Wen; Chen, Jin-Yun; Chen, Wen-Zhi"

作者地址："[Zhong, Qiao; Yang, Mei-Jie; Hu, Yan; Jiang, Li; Yu, Jing-Wen; Chen, Jin-Yun; Chen, Wen-Zhi] Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China; [Yang, Mei-Jie] Chongqing Med Univ, Coll Med Informat, Chongqing, Peoples R China; [Chen, Jin-Yun] Chongqing Med Univ, Affiliated Hosp 1, Dept Oncol, Chongqing, Peoples R China"

通信作者："Chen, JY (通讯作者)，Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China.; Chen, JY (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Oncol, Chongqing, Peoples R China."

来源：FRONTIERS IN SURGERY

ESI学科分类：　

WOS号：WOS:000876809900001

JCR分区：Q2

影响因子：1.8

年份：2022

卷号：9

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：adenomyosis; HIFU; dysmenorrhea; menorrhagia; decision-making

摘要："ObjectiveTo explore the influencing factors of decision-making in patients with adenomyosis, who are receiving high-intensity focused ultrasound (HIFU) treatment. MethodsA total of 776 patients with adenomyosis were enrolled into HIFU group (241 cases) and hysterectomy group (535 cases) according to the treatment methods. The general data, clinical symptoms, marital and childbearing history, and economic status were compared between the two groups, and factors with P < 0.05 were introduced into multivariate logistic regression analysis to determine the determinants of patients choosing HIFU. ResultsThe average age of the patients in the HIFU group was 39.1 +/- 5.2 years, which was lower than that in the hysterectomy group, which was 45.1 +/- 3.9 years (P < 0.05). The basic medical insurance for urban workers in the HIFU group was more than the hysterectomy group (P < 0.05). 95.9% of the hysterectomy group had no desire to have children, compared to 60.6% of the HIFU group, the difference was significant (P < 0.05). The treatment costs of HIFU group were significantly lower than that of hysterectomy group (P < 0.05). The main symptoms of the two groups were dysmenorrhea, menorrhagia, and secondary anemia. The results of multivariate logistic regression analysis showed that 31-40 years old, fertility desire, dysmenorrhea, menorrhagia, anemia and dizziness and fatigue were the influencing factors for the decision-making of HIFU for patients with adenomyosis. Conclusion31-40 years old, fertility desire, dysmenorrhea, menorrhagia, anemia and dizziness and fatigue were the influencing factors for patients to choose HIFU treatment. HIFU therapy has emerged as a new option for patients with adenomyosis as an alternative to hysterectomy."

基金机构：　

基金资助正文：