Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility.
Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility.
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DOI：
10.1016/j.fertnstert.2011.04.056
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发表时间：
2011-07
影响因子：
6.7
通讯作者：
Stewart EA
中科院分区：
文献类型：
--
作者：
Bouwsma EV;Gorny KR;Hesley GK;Jensen JR;Peterson LG;Stewart EA
描述磁共振引导聚焦超声手术 (FUS) 作为平滑肌瘤相关不孕症病例的治疗方法。随机临床试验的病例报告。学术医疗中心。一名 37 岁女性，患有已知的平滑肌瘤，并有 18 个月的已知捐赠者家庭授精史。磁共振引导下的 FUS 治疗子宫肌瘤，其中占主导地位的肌瘤扭曲了子宫腔。怀孕。经过单次克罗米芬柠檬酸盐和宫内授精周期后，成功实现宫内妊娠并足月阴道分娩。对于患有非宫腔镜可切除子宫肌瘤（扭曲子宫腔）的女性，FUS 在提高生育能力方面的作用应进一步研究。
To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility. Case report from a randomized clinical trial. Academic medical center. A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor. Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity. Pregnancy. A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle. The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further.