Effectiveness of treatment of uterine fibroids using focused ultrasound ablation

Effectiveness of treatment of uterine fibroids using focused ultrasound ablation

Malysheva Ya.R., Sosnova E.A., Kaptilnyy V.A.

Purpose. To evaluate the effectiveness of treatment of symptomatic uterine fibroids by FUS-ablation in women of reproductive age.

Materials and methods. The work was performed at the Medical rehabilitation Center of the Ministry of health of Russia. A retrospective analysis of 195 cases of treatment of uterine fibroids in patients aged 18 to 39 years by FUS-ablation was carried out. The analysis of the frequency of symptoms associated with uterine myoma, for which the patients were treated for the procedure of FU-ablation; required repeated FUS-ablation procedures; additional surgical methods of treatment. Patients with contraindications to MRI, as well as pregnant women, did not participate in the study.

Results. The primary result of the FUS-MRI-ablation procedure was evaluated by measuring the ratio of the volume of areas without perfusion  that appeared in the treated tumor to the entire volume of the node.

Conclusion. 1. FUS-ablation is an effective non-surgical treatment for symptomatic uterine fibroids. 2. The effectiveness of treatment is higher in patients with single myoma nodes. 3. Taking into account the fact that the effect of focused ultrasound does not affect 100% of the tissue of the myomatous node itself, this leads to a relapse of fibroids growth in terms of 6 to 12 months in the vast majority of patients. The resulting need for repeated procedures of FU-ablation, as well as surgical treatment, indicates that women planning a pregnancy, this method as monotherapy of uterine fibroids is not indicated.

1 – I. M. Sechenov First MSMU (Sechenov

University).

2 – Medical rehabilitation Center of the Ministry of health of Russia.

Moscow, Russia.

 

Keywords: uterine fibroids, FUS-ablation, non-surgical treatment.


Corresponding author:  Malysheva Ya. R. e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Malysheva Ya.R., Sosnova E.A., Kaptilnyy V.A. Effectiveness of treatment of uterine fibroids using focused ultrasound ablation. REJR 2019; 9(1):125-130. DOI:10.21569/2222-7415-2019-9-1-125-130.

Received:        20.03.19 Accepted:       04.04.19