Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: Preliminary results

作者：Wang, Yang; Wang, Wei^*; Wang, Longxia; Wang, Junyan; Tang, Jie

来源：European Journal of Radiology, 2011, 79(1): 56-59.

DOI：10.1016/j.ejrad.2009.12.034

• Endometriosis
• Abdominal wall
• High-intensity focused ultrasound
• Ablation

Purpose: To evaluate the safety and therapeutic efficacy of ultrasound (US)-guided high-intensity focused ultrasound (HIFU) ablation for the treatment of abdominal wall endometriosis (AWE).
Materials and methods: Twenty-one consecutive patients with AWE were treated as outpatients by US-guided HIFU ablation under conscious sedation. The median size of the AWE was 2.4 cm (range 1.0-5.3 cm). An acoustic power of 200-420W was used, intermittent HIFU exposure of 1 s was applied. Treatment was considered complete when the entire nodule and its nearby 1 cm margin become hyperechoic on US. Pain relief after HIFU ablation was observed and the treated nodule received serial US examinations during follow-up.
Results: All AWE was successfully ablated after one session of HIFU ablation, the ablation time lasted for 5-48 min (median 13 min), no major complications occurred. The cyclic pain disappeared in all patients during a mean follow-up of 18.7 months (range 3-31 months). The treated nodules gradually shank over time, 16 nodules became unnoticeable on US during follow-up.
Conclusion: US-guided HIFU ablation appears to be safe and effective for the treatment of AWE.

• 出版日期2011-7
• 单位中国人民解放军总医院