دورية أكاديمية

Combined transabdominal and transvaginal ultrasound-guided percutaneous microwave ablation of uterine myomas: an effective monitoring technique

التفاصيل البيبلوغرافية
العنوان: Combined transabdominal and transvaginal ultrasound-guided percutaneous microwave ablation of uterine myomas: an effective monitoring technique
المؤلفون: Min Lin, Jinghua He, Guorong Lyu, Zuolin Li, Xiaolian Li, Sihua Qiu, Shujin Chen, Tingting Zhang, Jinyong Wang, Shuiping Li
المصدر: International Journal of Hyperthermia, Vol 40, Iss 1 (2023)
بيانات النشر: Taylor & Francis Group, 2023.
سنة النشر: 2023
المجموعة: LCC:Medical technology
مصطلحات موضوعية: Uterine myoma, transabdominal ultrasound, transvaginal ultrasound, microwave, ablation, contrast-enhanced ultrasound, Medical technology, R855-855.5
الوصف: AbstractObjective This study compared the feasibility and efficacy of transabdominal ultrasound (TAU) and combined transabdominal and transvaginal ultrasound (TA/TV US)-guided percutaneous microwave ablation (PMWA) for uterine myoma (UM).Method This study enrolled 73 patients with UM who underwent PMWA via the transabdominal ultrasound-guided (TA group) or the combined transabdominal and transvaginal ultrasound-guided (TA/TV group) approaches. The intraoperative supplementary ablation rates, postoperative immediate ablation rates, lesion reduction rates and other indicators three months postoperatively were compared between the groups. The display of the needle tip, endometrium, uterine serosa, rectum and myoma feeding vessels under the guidance of TAU, transvaginal ultrasound (TVU) and TA/TV US were evaluated in the TA/TV group.Results In the TA/TV group, the real-time position of the needle tip and the endometrium complete display rate of the same lesions with TVU guidance were significantly higher than those using TAU. TA/TV US guidance significantly improved the complete display rate of each indicator. The intraoperative supplementary ablation rate in the TA/TV group was lower than that in the TA group. Similarly, the postoperative immediate ablation and volume reduction rates of the lesions three months postoperatively were higher than those in the TA group, especially for lesions with a maximum diameter ≥6 cm.Conclusion TA/TV US is an effective monitoring method that can be used to improve imaging display. Its use is recommended in patients with obesity, poor transabdominal ultrasound image quality and large myoma volumes.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 02656736
1464-5157
0265-6736
Relation: https://doaj.org/toc/0265-6736; https://doaj.org/toc/1464-5157
DOI: 10.1080/02656736.2022.2154576
URL الوصول: https://doaj.org/article/42e50498c68f434dbdaa0dbdbf04e0e9
رقم الأكسشن: edsdoj.42e50498c68f434dbdaa0dbdbf04e0e9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:02656736
14645157
DOI:10.1080/02656736.2022.2154576