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Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection.

Abstract：

OBJECTIVE:Big submucosal myoma often causes heavy menstrual bleeding and are complicated in hysterscopic surgery. High Intensity Focused Ultrasound (HIFU), is a method for myoma ablation therapy, which may benefit on size reduction, and assist following hysterscopic myomectomy. CASE REPORT:Two cases, case one,. 44-year-old female with 3.8 cm submucosal myoma, STEPW (Size, Topography, Extension, Penetration and Wall) score 6 and case 2. 48-year-old female, with 6.0 cm submucosal myoma, STEPW score 8, both received HIFU treatment before hysterscopic myomectomy was done. The myomas reduced after 5 months with improvement of anemia. The following hysterscopic myomectomy shows less operative time and fewer blood loss. CONCLUSION:HIFU reduce size of submucosal myoma and may improve anemia after months. Less operating time and blood loss were demonstrated in the following hysterscopic myomectomy. For well selected patients, combined treatment with HIFU and hysteroscopic resection may decrease complication rate.

journal_name

Taiwan J Obstet Gynecol

journal_title

Taiwanese journal of obstetrics & gynecology

authors

Liao WL,Ying TH,Shen HP,Wu PJ

doi

10.1016/j.tjog.2019.04.001

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

888-890

issue

6

eissn

1028-4559

issn

1875-6263

pii

S1028-4559(19)30236-0

journal_volume

58

pub_type

杂志文章

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