Proposing guidelines of clinical practice for ultrasound-guided percutaneous microwave ablated therapy of uterine fibroids

In: Chin J Med Ultrasound(Electronic Edition) · 2015 · vol. 12(5) , pp. 353–356 · doi:10.3877/cma.j.issn.1672-6448.2015.05.004 · W3028738340
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This expert consensus provides clinical practice guidelines for ultrasound-guided percutaneous microwave ablation therapy of uterine fibroids, based on extensive research and clinical experience.

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This expert consensus proposes clinical practice guidelines for ultrasound-guided percutaneous microwave ablation therapy specifically targeting uterine fibroids. The document outlines procedural standards, patient selection criteria, and imaging evaluation methods based on existing literature and clinical experience from multiple Chinese medical centers. While the primary focus remains on leiomyomas, the authors also reference studies evaluating the technique’s impact on ovarian function in patients with adenomyosis and its feasibility for treating that condition alongside fibroids. Relevance to endometriosis and adenomyosis: listed as one indication for microwave ablation, though the paper's main focus is uterine fibroids.

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中华医学超声杂志(电子版) ›› 2015, Vol. 12 ›› Issue (05) : 353 -356. doi: 10.3877/cma.j.issn.1672-6448.2015.05.004 专家共识 超声引导经皮微波消融治疗子宫肌瘤临床应用的指南建议 - 1. 100853 北京,解放军总医院介入超声科 2. 100853 北京,解放军总医院妇产科 3. 100050 北京友谊医院超声科 4. 100040 北京,清华大学附属第一医院微创治疗中心 5. 530031 南宁,广西医科大学第三附属医院肿瘤微创治疗科 6. 030006 太原,山西煤炭中心医院超声科 7. 130021 长春中医药大学附属医院妇科 8. 264000 青岛大学医学院附属烟台毓璜顶医院超声科 | 1 | 张冰松,张晶. 子宫肌瘤微创治疗及研究进展[J]. 中国超声医学杂志, 2008, 24(7):668-671. | | 2 | 张晶. 超声引导下微创治疗子宫肌瘤[J]. 医学与哲学(临床决策论坛版), 2008, 29(9):17-20. | | 3 | Khan AT, Shehmar M, Gupta JK. Uterine fibroids: current perspectives[J]. Int J Womens Health, 2014, 6:95-114. | | 4 | van der Kooij SM, Ankum WM, Hehenkamp WJ. Review of nonsurgical/minimally invasive treatments for uterine fibroids[J]. Curr Opin Obstet Gynecol, 2012, 24(6):368-375. | | 5 | 张晶,董宝玮,冯蕾, 等. 超声引导经皮穿刺微波消融治疗子宫肌瘤1例[J]. 中华超声影像学杂志, 2008, 17(4):326. | | 6 | 张晶,冯蕾,张冰松, 等. 经皮微波凝固子宫肌瘤效果研究[J/CD]. 中华医学超声杂志:电子版, 2011, 8(1):84-92. | | 7 | 张晶,冯蕾,张冰松, 等. 超声引导经皮子宫肌瘤微波消融后随访研究[J]. 中华医学杂志, 2011, 91(1):48-50. | | 8 | Zhang J, Feng L, Zhang B, et al. Ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroid treatment--a clinical study[J]. Int J Hyperthermia, 2011, 27(5):510-516. | | 9 | Yang Y, Zhang J, Han ZY, et al. Ultrasound-guided percutaneous microwave ablation for submucosal uterine fibroids[J]. J Minim Invasive Gynecol, 2014, 21(3):436-441. | | 10 | 郝艳丽,张晶,韩治宇, 等. 经皮微波消融治疗无蒂浆膜下子宫肌瘤37例[J]. 中国生育健康杂志, 2014, 25(2):123-125. | | 11 | 郝艳丽,张晶,韩治宇, 等. 子宫肌壁间子宫肌瘤经皮微波消融后中远期疗效研究[J]. 中华医学杂志, 2014, 94(9):664-666. | | 12 | Munro MG, Critchley HO, Fraser IS, et al. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years[J]. Fertil Steril, 2011, 95(7):2204-2208. | | 13 | Spies JB, Coyne K, Guaou Guaou N, et al. The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata[J]. Obstet Gynecol, 2002, 99(2):290-300. | | 14 | 张晶,张冰松,冯蕾, 等. 水冷单导植入式微波电极消融肌组织量效关系的实验研究[J/CD]. 中华医学超声杂志:电子版, 2009, 6(4):647-653. | | 15 | 张冰松,张晶,冯蕾, 等. 连续与间歇作用微波消融离体肌组织的对比研究. 中华超声影像学杂志, 2009,18(7):628-631. | | 16 | 张冰松,张晶,冯蕾, 等. 微波消融人离体子宫肌瘤与猪离体肌组织的对比观察[J]. 中国医学影像技术, 2009, 25(6):956-959. | | 17 | 杨宇,张晶,韩治宇, 等. 超声引导经皮微波消融治疗子宫黏膜下肌瘤临床疗效观察[J]. 中华超声影像学杂志, 2013, 22(6):518-521. | | 18 | 周洪雨,张晶,王芳, 等. 静态超声弹性成像在子宫肌层良性病变微波消融效果评估中的应用[J]. 中华超声影像学杂志, 2012, 21(2):149-152. | | 19 | 王芳,张晶,韩治宇, 等. 超声造影在经皮微波消融子宫肌层良性病变围手术期中的作用[J/CD]. 中华医学超声杂志:电子版, 2012, 9(1):52-56. | | 20 | Lei F, Jing Z, Bo W, et al. Uterine myomas treated with microwave ablation: the agreement between ablation volumes obtained fromcontrast-enhanced sonography and enhanced MRI[J]. Int J Hyperthermia, 2014, 30(1):11-18. | | 21 | Wang F, Zhang J, Han ZY, et al. Imaging manifestation of conventional and contrast-enhanced ultrasonography in percutaneous microwaveablation for the treatment of uterine fibroids[J]. Eur J Radiol, 2012, 81(11):2947-2952. | | 22 | 杨宇,张晶,韩治宇, 等. 超声引导经皮微波消融对子宫腺肌症患者卵巢功能影响[J]. 中国生育健康杂志, 2014, 25(2):133-135. | | 23 | 张雪花,韩治宇,徐瑞芳, 等. 超声引导下经皮穿刺微波消融治疗子宫肌瘤的围手术期效果评价[J]. 中国妇幼保健, 2013, 23(28):3849-3851. | | 24 | 周洪雨,张晶,徐瑞芳, 等. 微波消融灶组织病理变化与超声弹性成像图对照的实验研究[J/CD]. 中华医学超声杂志:电子版, 2013, 10(12):1031-1035. | | 25 | 周洪雨,张晶,蔡文佳, 等. 实时超声弹性成像评估微波消融肌组织凝固范围可行性研究[J]. 中国超声医学杂志, 2013, 29(1):72-74. | | 26 | Xia M, Jing Z, Han ZY, et al. Research of dose-effect relationship parameters of percutaneous microwave ablation for uterine leiomyomas--aquantitative study[J]. Sci Rep, 2014, 30(4):6469-6473. | | 27 | Xia M, Jing Z, Zhi-Yu H, et al. Feasibility study on energy prediction of microwave ablation upon uterine adenomyosis and leiomyomas by MRI[J]. Br J Radiol, 2014, 87(1040):20130770. | | No related articles found! | | 阅读次数 | ||||| | 全文 | | |||| | 摘要 | | |||| 版权所有 中华医学会 中华医学电子音像出版社有限责任公司 京ICP备14006079号-1 网络出版服务许可证:(署)网出证(京)字第075号 AI 小 编 AI小编

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