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Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: a retrospective study.
- Source :
-
BJOG : an international journal of obstetrics and gynaecology [BJOG] 2017 Aug; Vol. 124 Suppl 3, pp. 59-63. - Publication Year :
- 2017
-
Abstract
- Objective: To evaluate the safety and efficacy of ultrasound-guided high-intensity focused ultrasound (USgHIFU) for treating abdominal wall endometrioses (AWE).<br />Design: A retrospective study.<br />Setting: Department of Obstetrics and Gynaecology in China.<br />Population: Patients with abdominal wall endometriosis.<br />Methods: From August 2010 to April 2014, 32 patients with AWE were treated with USgHIFU in our hospital. USgHIFU treatment was performed with the Model JC-200 High Intensity Focused Ultrasound Tumor Therapeutic System. The symptom relief and the adverse effects were evaluated after USgHIFU ablation.<br />Main Outcome Measures: USgHIFU as a new treatment option for patients with AWE.<br />Results: Contrast-enhanced ultrasound showed that all lesions were successfully ablated with USgHIFU. The follow-up results showed that the average volume of AWE lesions at 6 months after USgHIFU was significantly smaller than that before treatment (2.80 ± 0.12 versus 1.33 ± 0.31 cm <superscript>3</superscript> ). The pain scores at 6 months after treatment were significantly lower than those before treatment (6.80 ± 2.64 versus 1.80 ± 0.3). The non-perfused volume (indicative of successful ablation) was measured in all patients immediately after treatment, ranging from 0.9 to 2.1 cm <superscript>3</superscript> (median: 1.6 cm <superscript>3</superscript> ), and the fractional ablation ranged from 87% to 100% (median: 94%). Local oedema was observed in these patients, lasting for 1-3 days only. No severe complications occurred during the follow-up period.<br />Conclusions: Based on our study, USgHIFU ablation is a safe and effective method for treating AWE.<br />Tweetable Abstract: As a non-invasive treatment technique, HIFU could be used to treat abdominal wall endometriosis.<br /> (© 2017 Royal College of Obstetricians and Gynaecologists.)
- Subjects :
- Adult
Female
High-Intensity Focused Ultrasound Ablation adverse effects
Humans
Operative Time
Postoperative Complications etiology
Retrospective Studies
Treatment Outcome
Abdominal Wall surgery
Endometriosis surgery
High-Intensity Focused Ultrasound Ablation methods
Muscular Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1471-0528
- Volume :
- 124 Suppl 3
- Database :
- MEDLINE
- Journal :
- BJOG : an international journal of obstetrics and gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 28856852
- Full Text :
- https://doi.org/10.1111/1471-0528.14741