Adverse reactions and precautions of ultrasound ablation in treatment of adenomyosis

Objective To explore the common adverse reactions and precautions in the treatment of adenomyosis with high intensity focused ultrasound (HIFU). Methods Clinical data of 171 patients with uterine adenomyosis treated with HIFU were analyzed retrospectively. Common adverse reactions during treatment and after treatment were summarized. The possible influential factors to adverse reactions and precautions were explored. Results During ultrasound ablation in the treatment of adenomyosis,patients occured lower abdominal pain in 87 cases,sacroiliac or buttock pain in 78 cases,skin buring in 52 cases, groin pain in 48 cases and radiating pain in 31 cases. Immediately after treatment,patients occured treatment area pain in 36 cases,sacroiliac or buttock pain in 21 cases and bloody vaginal discharge in 5 cases. Other adverse reactions presented during the treatment disappeared after HIFU treatment. Precautions during the treatment were taken and these precautions could reduce the adverse reactions and avoid complications. Conclusion Different degrees of adverse reactions may be often seen during HIFU treatment for uterine adenomyosis. Timely given the appropriate precautions can effectively reduce and control the occurrence of adverse reactions and ensure the safety and efficacy of the treatment.