Variables associated with vaginal discharge after ultrasound-guided percutaneous microwave ablation for adenomyosis

Xu RF, Ruifang Xu, Rui-fang Xu, Zhang J, Jing Zhang, Zhiyu Han, Han ZY, Zhi-Yu Han, Zhang Bing-song, Bing-song Zhang, Zhang BS, Liu H, Hui Liu, Xiumei Li, Li XM, Xiu-Mei Li, Ge HL, Hai-Long Ge, Hailong Ge, Dong XJ, Xue-Juan Dong, Xuejuan Dong
International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2016 · vol. 32(5) , pp. 504–510 · doi:10.3109/02656736.2016.1150523 · PMID:27087631 · W2336538979
Other OA: bronze CC0 ⤵ 8 in-corpus citations
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The minimum distance from the non-perfused lesion margin to the endomyometrial junction and diffuse adenomyosis type were significantly associated with vaginal discharge after microwave ablation.

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Abstract

Objective The aim of this study was to analyse the significant variables for vaginal discharge after ultrasound-guided percutaneous microwave ablation (PMWA) therapy. Materials and methods PMWA was performed on 117 patients with adenomyosis from October 2012 to July 2014. The presence or absence, colour, quantity and duration of vaginal discharge, which was different from pre-ablation, were recorded within 1 year after PMWA. Patients were categorised into G1 (n = 26, without vaginal discharge), G2 (n = 40, vaginal discharge lasting 1 to 19 days), and G3 (n = 51, vaginal discharge lasting ≥20 days) groups. The potentially correlative variables were analysed. Variables with significant correlations with vaginal discharge post-ablation were identified via binary logistic regression analysis. Results The differences in adenomyosis type, pre-ablation uterine volume, total microwave ablation energy, total non-perfused volume (NPV) and minimum distance from the non-perfused lesion (NPL) margin to the endomyometrial junction (EMJ) among groups were statistically significant (p = 0.005, p = 0.000, p = 0.000, p = 0.005 and p = 0.000, respectively). Minimum distance from the NPL margin to the EMJ was the strongest predictor of vaginal discharge post-ablation with odds ratio (OR) 0.632, p = 0.018, 95% CI 0.432-0.923. Patients with diffuse adenomyosis were more likely to have prolonged vaginal discharge (≥20 days) post-ablation (OR 3.461, p = 0.000, 95% CI 1.759-7.536). Conclusion The minimum distance from the NPL margin to the EMJ and adenomyosis type were significantly associated with vaginal discharge post-ablation.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation Microwaves Microwaves Vaginal Discharge Vaginal Discharge Adenomyosis Adenomyosis Adenomyosis Adult Adult Female Female Humans Humans Magnetic Resonance Imaging Magnetic Resonance Imaging Middle Aged Middle Aged

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (24)

Cited by (8)

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europepmc
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openalex
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