Laparoscopy and transvaginal ultrasound guided microwave ablation for adenomyosis
10.13929/j.1672-8475.201709006
- VernacularTitle:腹腔镜联合经阴道超声引导微波消融治疗子宫腺肌病
- Author:
Xiujuan HUANG
1
;
Shunshi YANG
;
Jueying LI
;
Mingfeng MAO
;
Jingjing LI
;
Xiaoyu ZHAO
Author Information
1. 华中科技大学同济医学院附属武汉中心医院超声科
- Keywords:
Microwave ablation;
Laparoscopy;
Endosonography;
Adenomyosis
- From:
Chinese Journal of Interventional Imaging and Therapy
2018;15(3):148-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of microwave ablation guided with laparoscopy and transvaginal ultrasound in the treatment of adenomyosis.Methods Seventy patients with 89 lesions of adenomyosis were treated with laparoscopy and transvaginal ultrasound guided microwave ablation.Intraoperative and postoperative complications were observed.The differences in dysmenorrhea score,menstrual flow and dysmenorrhea time before and after treatment were compared.Ultrasound examinations were performed 1,3 and 6 months after treatment to measure the volumes of uterus and adenomyosis lesions.Results Outflow liquid from vagina 1-3 days after treatment was found in 1 patient,and mild vaginal bleeding was found in 3 patients.No serious complication occurred in the other 66 patients.Compared with preoperation,the dysmenorrhea score,menstrual flow and dysmenorrhea time decreased in all patients after treatment (all P＜0.01).The volumes of uterus and adenomyosis lesions 1,3 and 6 months after treatment were significantly less than those before treatment (all P＜0.01).Conclusion Laparoscopy and transvaginal ultrasound guided microwave ablation is a safe and efficient therapy for adenomyosis.
