PDF(Pubmed)
Abstract：
UNASSIGNED: The present study aimed to investigate the clinical efficacy of endometrial ablation with high-intensity focused ultrasound (HIFU) for symptom relief in women with adenomyosis.
UNASSIGNED: Between July 2014 and July 2020, 167 patients with adenomyosis treated at the Zhongshan City People\'s Hospital were enrolled in this study. Patients were divided into two groups according to patient aspirations: the control group, including patients who only underwent ablation of adenomyosis lesions (group A) and the treatment group, including patients who underwent removal of adenomyosis lesions and endometrial ablation (group B).
UNASSIGNED: The reduced dysmenorrhea scores (visual analog scale) and menstrual volume scores (pictorial blood assessment chart) were measured before and after treatment. The scores were obtained by subtracting the postoperative scores from the preoperative scores and were compared to determine whether the symptoms had alleviated. Compared with the menstrual volume of group A, that in group B showed significant improvements. The average relief rates of dysmenorrhea in the two groups also showed significant improvement. However, the scores in group B showed a more significant improvement than those in group A.
UNASSIGNED: Therefore, our findings suggest that endometrial ablation using HIFU may be superior to conventional therapy with regard to alleviating the symptoms of increased menstruation in women with adenomyosis.
UNASSIGNED: Between July 2014 and July 2020, 167 patients with adenomyosis treated at the Zhongshan City People\'s Hospital were enrolled in this study. Patients were divided into two groups according to patient aspirations: the control group, including patients who only underwent ablation of adenomyosis lesions (group A) and the treatment group, including patients who underwent removal of adenomyosis lesions and endometrial ablation (group B).
UNASSIGNED: The reduced dysmenorrhea scores (visual analog scale) and menstrual volume scores (pictorial blood assessment chart) were measured before and after treatment. The scores were obtained by subtracting the postoperative scores from the preoperative scores and were compared to determine whether the symptoms had alleviated. Compared with the menstrual volume of group A, that in group B showed significant improvements. The average relief rates of dysmenorrhea in the two groups also showed significant improvement. However, the scores in group B showed a more significant improvement than those in group A.
UNASSIGNED: Therefore, our findings suggest that endometrial ablation using HIFU may be superior to conventional therapy with regard to alleviating the symptoms of increased menstruation in women with adenomyosis.
摘要：
■本研究旨在探讨高强度聚焦超声（HIFU）子宫内膜切除术对子宫腺肌病女性症状缓解的临床疗效。
■2014年7月至2020年7月，中山市人民医院收治的167例子宫腺肌病患者纳入本研究。根据患者的愿望将患者分为两组：对照组，包括仅进行子宫腺肌病病灶消融的患者（A组）和治疗组，包括行子宫腺肌病病灶切除和子宫内膜消融术的患者（B组）。
■治疗前后测量痛经降低评分（视觉模拟量表）和月经量评分（图示血液评估图）。通过从术前评分中减去术后评分来获得评分，并进行比较以确定症状是否减轻。与A组月经量比较,B组表现出显著改善。两组痛经的平均缓解率也有明显改善。然而,B组的得分比A组有更显著的改善。
■因此，我们的研究结果表明,在缓解子宫腺肌病患者月经增多的症状方面,采用HIFU的子宫内膜消融术可能优于常规治疗.
■2014年7月至2020年7月，中山市人民医院收治的167例子宫腺肌病患者纳入本研究。根据患者的愿望将患者分为两组：对照组，包括仅进行子宫腺肌病病灶消融的患者（A组）和治疗组，包括行子宫腺肌病病灶切除和子宫内膜消融术的患者（B组）。
■治疗前后测量痛经降低评分（视觉模拟量表）和月经量评分（图示血液评估图）。通过从术前评分中减去术后评分来获得评分，并进行比较以确定症状是否减轻。与A组月经量比较,B组表现出显著改善。两组痛经的平均缓解率也有明显改善。然而,B组的得分比A组有更显著的改善。
■因此，我们的研究结果表明,在缓解子宫腺肌病患者月经增多的症状方面,采用HIFU的子宫内膜消融术可能优于常规治疗.
