Minimum Interventional Treatment for Uterus Leiomyoma Under US-guidance

In: Medicine & Philosophy(Clinical Decision Making Forum Edition) · 2008 · W2351764446
article OA: closed CC0
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Minimum interventional treatments for uterine leiomyomas under ultrasound guidance, including thermal ablation and injection of coagulating agents, effectively shrink tumors and improve symptoms while preserving uterine function.

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Abstract

According to the published articles, the methods of MITUM under USG can be classified into 2 category,(1)Location thermal ablation: The uterus leiomyoma is coagulated into necrosis by physical high temperature that is lead into the leiomyoma nodule under ultrasound nicely guidance and surveillance. This method includes high intensity focused ultrasound HIFU, microwave ablation MW and radiofrequency ablation RA.(2)To kill the leiomyoma cells by injecting the coagulating agency ICA or chemotherapy medicines ICM into the leiomyoma nodule through the nodule puncture under USG. The leiomyoma cells can be killed effectively by the methods that has mentioned above the leiomyoma shrink obviously after treatment,the clinical symptoms are improved obviously or disappear,moreover the normal physiological functions of patient can be not infected or tine. Among the methods,HIFU is nontrauma however,takes time; MW or RA have a high efficiency and need short time but the myona puncture is need. It is convenient to operate for ICA or ICM into the leiomyoma,and it is suitable only to those nodule largest diameter less than 3cm,because the dispersion of medicine is not uniformity. MITUM under USG has minimum hurt,does not need hysterectomy,the leiomyoma can be shrunk effectively and the clinical symptoms can be improved obviously with no or little side effect. MITUM under USG is one of optional method for the treatment of patient with leiomyoma and want to preserving her uterus.

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