PDF(Pubmed)
Abstract：
High-intensity focused ultrasound (HIFU) is commonly used to treat uterine fibroids and adenomyosis, but there is no evidence using metadata to compare fertility outcomes between conventional laparoscopic procedures and HIFU. The purpose of this study analysis is that evidence-based fertility outcomes may provide better treatment options for clinicians and patients considering fertility. The literature on fertility data for HIFU surgery versus laparoscopic myomectomy was searched in seven English language databases from January 1, 2010, to November 23, 2022. A total of 1375 articles were received in the literature, 14 of which were selected. We found that women who underwent HIFU surgery had higher rates of spontaneous pregnancy, higher rates of spontaneous delivery, and higher rates of full-term delivery but may have higher rates of miscarriage or postpartum complications than women who underwent laparoscopic myomectomy. Looking forward to future studies, it is hoped that the literature will examine endometrial differences in women who undergo HIFU and laparoscopic myomectomy to demonstrate the ability of endometrial repair. The location of fibroids in the sample should also be counted to allow for attribution statistics on the cause of miscarriage.
摘要：
高强度聚焦超声（HIFU）通常用于治疗子宫肌瘤和子宫腺肌病，但没有证据表明使用元数据比较传统腹腔镜手术和HIFU的生育结局.这项研究分析的目的是，基于证据的生育结果可以为考虑生育的临床医生和患者提供更好的治疗选择。从2010年1月1日至2022年11月23日，在七个英语数据库中搜索了HIFU手术与腹腔镜子宫肌瘤切除术的生育数据。文献中总共收到1375篇文章，其中14人被选中。我们发现接受HIFU手术的女性有更高的自发性妊娠率，更高的自发分娩率，足月分娩率较高，但流产或产后并发症的发生率可能高于接受腹腔镜子宫肌瘤切除术的妇女。展望未来的研究，希望文献能够研究接受HIFU和腹腔镜子宫肌瘤切除术的女性的子宫内膜差异,以证明子宫内膜修复的能力.还应计算样本中肌瘤的位置，以便对流产的原因进行归因统计。
