Vaginal Pessary for Uterine Repositioning during High-Intensity Focused Ultrasound Ablation of Uterine Leiomyomas.
Vaginal Pessary for Uterine Repositioning during High-Intensity Focused Ultrasound Ablation of Uterine Leiomyomas.
复制标题
在高强度聚焦超声消融子宫肌瘤期间用于子宫重新定位的阴道子宫托。
DOI：
10.1159/000441782
复制
发表时间：
2016
影响因子：
2.1
通讯作者：
Stratton,Pamela
中科院分区：
文献类型：
--
作者：
KlepacPulanic,Tajana;Venkatesan,AradhanaM;Segars,James;Sokka,Sham;Wood,BradfordJ;Stratton,Pamela
In order to ensure safe magnetic resonance-guided, high-intensity focused, ultrasound ablation of uterine leiomyomas, the ultrasound beam path should be free of intervening scar and bowel. Pre-treatment MRI of a 9-cm long and 7.7-cm wide leiomyomatous uterus in a 39-year-old woman with menorrhagia and abdominopelvic pain initially demonstrated a focused ultrasound treatment path without a bowel between the uterus and the abdominal wall. On the day of ablation, however, multiple loops of bowel were observed in the ultrasound beam path by MRI. Uterine repositioning was accomplished with a 76-mm donut vaginal pessary, which anteverted the fundus and successfully displaced the bowel. A vaginal pessary may aid in repositioning an axial or retroverted uterus to enable ablation of uterine leiomyomas.
