DESTRUCTION BY FOCUSED ULTRASOUND UNDER GUIDANCE OF MAGNETIC RESONANCE IMAGING AS THE FIRST STAGE OF COMBINATION TREATMENT FOR SUBMUCOUS UTERINE MYOMAS


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Objective. To study whether destruction by focused ultrasound (FU) under guidance of magnetic resonance imaging (FUMRI) may be used as a preoperative stage of surgical treatment for submucous uterine myoma. Subjects and methods. In 20 reproductive- and late reproductive-age patients, submucous uterine myoma was preoperatively prepared by FU MRI. Nodules were 3 to 6 cm in diameter. Results. Due to FU destruction, nodular regression was 20 to 60%. All the patients satisfactorily experienced the procedure and called it comfortable. Typical transcervical myomectomy without complications was carried out 3—4 months after FU MRI. Conclusion. FU MRI-guided ablation may serve as the method of choice for the preparation of 3—7-cm submucal nodules for transcervical myomectomy since it is an effective method to reduce nodular volume and an outpatient noninvasive procedure that has no clinically significant systemic effect on the body and that requires no rehabilitation or temporary disability.

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作者简介

Yu. KURASHVILI

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Moscow

I. BARANOV

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Moscow

E. KANAYEVA

Reproductive Medicine Clinic

Chelyabinsk

O. BATARSHINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: kira_41@mail.ru
Moscow

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