Efficacy of Transvaginal Sonography-guided Laparoscopic Percutaneous Microwave Coagulation Therapy in Treatment of Uterine Adenomyoma
10.3969/j.issn.1005-5185.2017.08.014
- VernacularTitle:经阴道超声引导腹腔镜下经皮微波消融治疗子宫腺肌瘤的效果
- Author:
Jueying LI
1
;
Shunshi YANG
;
Xiaoyu ZHAO
;
Mingfeng MAO
;
Jingjing LI
;
Xiujuan HUANG
Author Information
1. 华中科技大学同济医学院附属武汉市中心医院超声影像科 湖北武汉430000
- Keywords:
Uterine neoplasms;
Adenomyoma;
Microwaves;
Catheter ablation;
Laparoscopy;
Ultrasonography,interventional
- From:
Chinese Journal of Medical Imaging
2017;25(8):613-616
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To explore the short-term clinical efficacy and application value of transvaginal sonography-guided laparoscopic percutaneous microwave coagulation therapy in the treatment of uterine adenomyoma.Materials and Methods Forty patients with uterine adenomyoma who visited the Central Hospital of Wuhan from October 2015 to October 2016 were selected in this study.These patients were invalid in traditional treatment for severe dysmenorrheal,but still unwilling to excise uterus.Microwave needles were placed into uterine adenomyoma to conduct percutaneous microwave coagulation therapy under the whole-process monitoring and guidance of laparoscope and transvaginal ultrasonography.Results All of 64 nidi in the 40 patients were ablated successfully,and none had damage to peripheral vital organs or vessels.Intraoperative hemorrhagic volume was extremely small.Postoperative menstrual blood volume and dysmenorrheal severity were improved notably,but none had obvious recurrence until now.The uterine volumes at postoperative one,three and six months as well as one year were (135.0±73.2) cm3,(108.2 ± 62.9) cm3,(91.4 ± 58.4) cm3,and (84.8 ± 50.0) cm3,respectively,all were evidently smaller than the (207.2± 97.4) cm3 before operation (P＜0.01).The n idus sizes at postoperative one,three and six months as well as one year were (42.3±34.2) cm3,(30.6±27.4) cm3,(24.7±23.0) cm3 and (23.0± 19.4) cm3,respectively,all were evidently smaller than the (67.9±48.2) cm3 before operation (P＜0.01).There were also significant differences in laboratory examinations of CA125 and CA199 before and after operation (P＜0.01).Conclusion Percutaneous microwave coagulation therapy as a non-invasive technique that can both maintain patients' uteruses and resolve their pain,is more safe and real-time under the monitoring of laparoscope,thus being promising as a new routine for the treatment of uterine adenomyoma.
