Effect of high intensity focused ultrasound treatment on ovarian reserve capacity in adenomyosis
10.19745/j.1003-8868.2024011
- VernacularTitle:高强度聚焦超声治疗子宫腺肌病对卵巢储备能力的影响
- Author:
Yi-Lin QIAN
1
;
Hui-Xian CHEN
;
Qing-Yue CHEN
;
Dong-Qin HE
;
Shu-Jing CHEN
Author Information
1. 苏州市中西医结合医院妇产科,江苏苏州 215000
- Keywords:
HIFU;
adenomyosis;
ovarian reserve capacity;
color Doppler ultrasonography;
ultrasound treatment
- From:
Chinese Medical Equipment Journal
2024;45(1):67-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of high intensity focused ultrasound(HIFU)treatment on ovarian reserve capacity in adenomyosis.Methods Clinical data of 106 adenomyosis patients who underwent HIFU treatment from May 2019 to December 2020 at some hospital were analyzed retrospectively.All the patients were treated with HIFU,and color Doppler ultrasonography was performed before and after 6 months of treatment,respectively.The resistance index,pulsatility index,vascularization index,blood flow index,vascularization blood flow index and sinus follicle number were obtained,and serum anti-Mullerian hormone(AMH),follicle-stimulating hormone(FSH)and luteinizing hormone(luteinizing hormone)were measured.The correlation between serum AMH levels and FSH and LH levels was analyzed.SPSS 21.0 statistical software was used for data analysis.Results After 6 months of treatment serum FSH,LH,value of FSH/LH,resistance index and pulsatility index significantly decreased while vascularization index,blood flow index,vascularization blood flow index,number of sinus follicles,and serum AMH level obviously increased when compared with those before treatment,with the differences being statistically significant(P<0.05).Serum AMH levels were negatively correlated with FSH and LH levels(r=-0.448,-0.527,P<0.05)after 6 months of treatment.Conclusion HIFU treatment reduces sex hormone levels,elevates serum AMH levels and sinus follicle number,and may improve ovarian reserve capacity in patients with adenomyosis.[Chinese Medical Equipment Journal,2024,45(1):67-70]