High-intensity focused ultrasound (HIFU) for adenomyosis: Two-year follow-up results

•Evaluation of the long-term improvement of clinical symptoms with high intensity focused ultrasound (HIFU).•Ultrasound-guided high intensity focused ultrasound (USgHIFU) modality was used.•Among the 350 treated patients, 224 completed the two years follow-up.•USgHIFU treatment can sustain long-term...

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Veröffentlicht in:Ultrasonics sonochemistry 2015-11, Vol.27, p.677-681
Hauptverfasser: Shui, Lian, Mao, Shihua, Wu, Qingrong, Huang, Guohua, Wang, Jian, Zhang, Ruitao, Li, Kequan, He, Jia, Zhang, Lian
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container_issue
container_start_page 677
container_title Ultrasonics sonochemistry
container_volume 27
creator Shui, Lian
Mao, Shihua
Wu, Qingrong
Huang, Guohua
Wang, Jian
Zhang, Ruitao
Li, Kequan
He, Jia
Zhang, Lian
description •Evaluation of the long-term improvement of clinical symptoms with high intensity focused ultrasound (HIFU).•Ultrasound-guided high intensity focused ultrasound (USgHIFU) modality was used.•Among the 350 treated patients, 224 completed the two years follow-up.•USgHIFU treatment can sustain long-term clinical improvements.•USgHIFU is a safe and effective treatment for adenomyosis. To evaluate the long-term improvement of clinical symptoms of adenomyosis after treatment with ultrasound-guided high intensity focused ultrasound (USgHIFU). From January 2010 to December 2011, 350 patients with adenomyosis were treated with USgHIFU. Among the 350 patients, 224 of them completed the two years follow-up. The patients were followed up at 3months, 1year, and 2years after HIFU treatment. Adverse effects and complications were recorded. All patients completed HIFU ablation without severe postoperative complications. 203 of the 224 patients who showed varying degrees of dysmenorrhea before treatment had the symptom scores decreased significantly after treatment (P
doi_str_mv 10.1016/j.ultsonch.2015.05.024
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To evaluate the long-term improvement of clinical symptoms of adenomyosis after treatment with ultrasound-guided high intensity focused ultrasound (USgHIFU). From January 2010 to December 2011, 350 patients with adenomyosis were treated with USgHIFU. Among the 350 patients, 224 of them completed the two years follow-up. The patients were followed up at 3months, 1year, and 2years after HIFU treatment. Adverse effects and complications were recorded. All patients completed HIFU ablation without severe postoperative complications. 203 of the 224 patients who showed varying degrees of dysmenorrhea before treatment had the symptom scores decreased significantly after treatment (P&lt;0.001). The relief rate was 84.7%, 84.7%, and 82.3%, respectively at 3months, 1year, and 2years after treatment. The menstrual volume in 109 patients with menorrhagia was significantly improved after treatment (P&lt;0.001) with a relief rate of 79.8%, 80.7%, and 78.9%, respectively at 3months, 1year, and 2years after HIFU treatment. With its ability to sustain long-term clinical improvements, HIFU is a safe and effective treatment for adenomyosis.</description><identifier>ISSN: 1350-4177</identifier><identifier>EISSN: 1873-2828</identifier><identifier>DOI: 10.1016/j.ultsonch.2015.05.024</identifier><identifier>PMID: 26050604</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adenomyosis ; Adenomyosis - complications ; Adenomyosis - physiopathology ; Adenomyosis - surgery ; Adult ; Adverse effect ; Dysmenorrhea - complications ; Female ; Follow-Up Studies ; High-Intensity Focused Ultrasound Ablation - adverse effects ; Humans ; Long-term follow-up ; Menstruation ; Middle Aged ; Treatment Outcome ; Ultrasound-guided high-intensity focused ultrasound ; Young Adult</subject><ispartof>Ultrasonics sonochemistry, 2015-11, Vol.27, p.677-681</ispartof><rights>2015 Elsevier B.V.</rights><rights>Copyright © 2015 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-8079238f82b440a7a0df38168ae208abde5dc0d0845dd071667c919344bef13</citedby><cites>FETCH-LOGICAL-c438t-8079238f82b440a7a0df38168ae208abde5dc0d0845dd071667c919344bef13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ultsonch.2015.05.024$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26050604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shui, Lian</creatorcontrib><creatorcontrib>Mao, Shihua</creatorcontrib><creatorcontrib>Wu, Qingrong</creatorcontrib><creatorcontrib>Huang, Guohua</creatorcontrib><creatorcontrib>Wang, Jian</creatorcontrib><creatorcontrib>Zhang, Ruitao</creatorcontrib><creatorcontrib>Li, Kequan</creatorcontrib><creatorcontrib>He, Jia</creatorcontrib><creatorcontrib>Zhang, Lian</creatorcontrib><title>High-intensity focused ultrasound (HIFU) for adenomyosis: Two-year follow-up results</title><title>Ultrasonics sonochemistry</title><addtitle>Ultrason Sonochem</addtitle><description>•Evaluation of the long-term improvement of clinical symptoms with high intensity focused ultrasound (HIFU).•Ultrasound-guided high intensity focused ultrasound (USgHIFU) modality was used.•Among the 350 treated patients, 224 completed the two years follow-up.•USgHIFU treatment can sustain long-term clinical improvements.•USgHIFU is a safe and effective treatment for adenomyosis. To evaluate the long-term improvement of clinical symptoms of adenomyosis after treatment with ultrasound-guided high intensity focused ultrasound (USgHIFU). From January 2010 to December 2011, 350 patients with adenomyosis were treated with USgHIFU. Among the 350 patients, 224 of them completed the two years follow-up. The patients were followed up at 3months, 1year, and 2years after HIFU treatment. Adverse effects and complications were recorded. All patients completed HIFU ablation without severe postoperative complications. 203 of the 224 patients who showed varying degrees of dysmenorrhea before treatment had the symptom scores decreased significantly after treatment (P&lt;0.001). The relief rate was 84.7%, 84.7%, and 82.3%, respectively at 3months, 1year, and 2years after treatment. The menstrual volume in 109 patients with menorrhagia was significantly improved after treatment (P&lt;0.001) with a relief rate of 79.8%, 80.7%, and 78.9%, respectively at 3months, 1year, and 2years after HIFU treatment. With its ability to sustain long-term clinical improvements, HIFU is a safe and effective treatment for adenomyosis.</description><subject>Adenomyosis</subject><subject>Adenomyosis - complications</subject><subject>Adenomyosis - physiopathology</subject><subject>Adenomyosis - surgery</subject><subject>Adult</subject><subject>Adverse effect</subject><subject>Dysmenorrhea - complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>High-Intensity Focused Ultrasound Ablation - adverse effects</subject><subject>Humans</subject><subject>Long-term follow-up</subject><subject>Menstruation</subject><subject>Middle Aged</subject><subject>Treatment Outcome</subject><subject>Ultrasound-guided high-intensity focused ultrasound</subject><subject>Young Adult</subject><issn>1350-4177</issn><issn>1873-2828</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUMtOwzAQtBAIyuMXUI7lkLJ-JHE4gRClSEgcKGfLtTfgKo2LnYD697hq4Yq00q40Mzu7Q8glhQkFWl4vJ0PbR9-ZjwkDWkwgFRMHZERlxXMmmTxMMy8gF7SqTshpjEsA4DWDY3LCSiigBDEi85l7_8hd12MXXb_JGm-GiDZL24OOfuhsNp49Td-uEhIybbHzq42PLt5k82-fb1CHhLSt_86HdRYwbs86J0eNbiNe7PsZeZ0-zO9n-fPL49P93XNuBJd9LqGqGZeNZAshQFcabMMlLaVGBlIvLBbWgAUpCmuhomVZmZrWXIgFNpSfkfFu6zr4zwFjr1YuGmxb3aEfoqJlXTEGnEOiljuqCT7GgI1aB7fSYaMoqG2eaql-81TbPBWkYiIJL_cew2KF9k_2G2Ai3O4ImP78chhUNA47g9YFNL2y3v3n8QPzhIpB</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Shui, Lian</creator><creator>Mao, Shihua</creator><creator>Wu, Qingrong</creator><creator>Huang, Guohua</creator><creator>Wang, Jian</creator><creator>Zhang, Ruitao</creator><creator>Li, Kequan</creator><creator>He, Jia</creator><creator>Zhang, Lian</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>High-intensity focused ultrasound (HIFU) for adenomyosis: Two-year follow-up results</title><author>Shui, Lian ; 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subjects Adenomyosis
Adenomyosis - complications
Adenomyosis - physiopathology
Adenomyosis - surgery
Adult
Adverse effect
Dysmenorrhea - complications
Female
Follow-Up Studies
High-Intensity Focused Ultrasound Ablation - adverse effects
Humans
Long-term follow-up
Menstruation
Middle Aged
Treatment Outcome
Ultrasound-guided high-intensity focused ultrasound
Young Adult
title High-intensity focused ultrasound (HIFU) for adenomyosis: Two-year follow-up results
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