Reproductive impact of MRI-guided focused ultrasound surgery for fibroids: a systematic review of the evidence.
Reproductive impact of MRI-guided focused ultrasound surgery for fibroids: a systematic review of the evidence.
复制标题
DOI：
10.1097/gco.0000000000000070
复制
发表时间：
2014-06
影响因子：
2.1
通讯作者：
Segars JH
中科院分区：
文献类型：
--
作者：
Clark NA;Mumford SL;Segars JH
Magnetic-resonance-guided focused ultrasound surgery (MRgFUS) is a minimally invasive technique for the treatment of uterine fibroids. The purpose of this review is to highlight the impact of MRgFUS on fertility and reproductive outcomes. The role of MRgFUS in the treatment of fibroids has been evolving since its introduction in 2004. Several new devices and techniques including location-specific treatment, volumetric therapy, and vessel-targeted therapy have been introduced over the last few years. Several case series report uncomplicated pregnancy following MRgFUS; however, results of the ongoing studies will further elucidate the utility of MRgFUS in patients planning future fertility. A systematic review of the literature was completed and studies that reported quality of life at baseline and after 6 months were included in a meta-analysis. MRgFUS represents a minimally invasive treatment for uterine fibroids that is able to improve the quality of life and fibroid size with durability. It is possible that MRgFUS could be the treatment of choice for patients desiring future fertility; however, further investigation is needed.
