【摘 要】
：
To evaluate the effects of percutaneous microwave ablation (MWA) for treatment of uterus adenomyosis.Materials and methods: One hundred and forty one consecutive patients with MRI and ultrasound (US)
【机 构】
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Chinese PLA General Hospital China
论文部分内容阅读
To evaluate the effects of percutaneous microwave ablation (MWA) for treatment of uterus adenomyosis.Materials and methods: One hundred and forty one consecutive patients with MRI and ultrasound (US) proven adenomyosis with dysmenorrhea or menorrhagia (anemia) were treated by US-guided percutaneous MWA.One or two cooled-shaft needle microwave antennae were percutaneously inserted into the lesion for ablation under US guidance.The treatment was completed when the most of lesion was ablated.The size of uterus, hemoglobin levels and degree of dysmenorrhea were evaluated before and 3, 6 and 12 months after ablation.The side effects and complications were evaluated during and after ablation.Results: The ablated percentage of lesion was 65%~80% (75%).3 months after ablation the uterus size shrink significantly compared with that before ablation (P <0.01), the score of dysmenorrhea decreased from average 8.8 to 2.8 (P < 0.01), the hemoglobin levels increased from average 9.1 to 12.2 g/l (P <0.01).No any severe complications were observed in the period of 12 months after treatment.Vaginal blood fluid in 90% patients disappeared in 3-15 days after treatment.Conclusions: US-guided percutaneous MWA for treatment of symptomatic adenomyosis can be an effective method on the basis of intact uterus.
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