Analysis of the Efficacy of High Intensity Focused Ultrasound in the Treatment of 142 Cases of Adenomyosis(12 Cases of Pregnancy)

Objective: To evaluate the efficacy and safety of high-intensity focused ultrasound(HIFU) in the treatment of adenomyosis.Methods: 142 cases of adenomyosis admitted in our hospital from December 2007 to December 2012 were treated by HIFU and followed-up for 1,3,6 and 12 months,and the improvement of ultrasonic imaging changes and clinical syptoms were evaluated.Results: After treatment,118 cases were effectively followed up.Color Doppler ultrasound showed that the average of decrease of uterine volume was 35% after 1 month's treatment,59% after 3 months' treatment,85% after 6 months' treatment,80% after 12 months' treatment.In 110 cases of adenomyosis with menorrhagia,3 cases returned to normal after 12 months' treatment,45 cases decreased significantly,68 cases decreased but were still higher than normal,2 cases had little change,the total effective rate was 98.3%.In 118 cases of adenomyosis with dysmenorrhea,dysmenorrhea disappeared within 12 months in 34 cases,80 cases still had mild dysmenorrhea,4 cases still had moderate and severe dysmenorrhea,the total effective rate was 96.6%.Re-pregnancy was found in 12 cases Conclusion: HIFU was safe and effective in the treatment of adenomyosis with few complications,which had little impact on the pregancy and could meet the need of re-pregnancy and preservation of uterus of patients.