英文论文
-
文献类型
-
Review
-
题名
-
High-intensity focused ultrasound treatment for symptomatic uterine fibroids: a systematic review and meta-analysis
-
作者
-
Yan, Ling; Huang, Huimin; Lin, Jingwen; Yu, Ruimei
-
作者单位
-
[Yan, Ling; Huang, Huimin; Lin, Jingwen; Yu, Ruimei] Xiamen Univ, Dept Obstet & Gynecol, Affiliated Hosp 1, 55 Zhenhai Rd, Xiamen 361000, Peoples R China.
-
通讯作者地址
-
Xiamen Univ, Dept Obstet & Gynecol, Affiliated Hosp 1, 55 Zhenhai Rd, Xiamen 361000, Peoples R China.
-
Email
-
yanlingwork@163.com; 1348562877@qq.com
-
ResearchID
-
-
ORCID
-
-
期刊名称
-
INTERNATIONAL JOURNAL OF HYPERTHERMIA
-
出版社
-
TAYLOR & FRANCIS LTD
-
ISSN
-
0265-6736
-
出版信息
-
2022-12-31, 39 (1):230-238.
-
JCR
-
2
-
影响因子
-
-
ISBN
-
-
基金
-
-
会议名称
-
-
会议地点
-
-
会议开始日期
-
-
会议结束日期
-
-
关键词
-
High-intensity focused ultrasound treatment; symptomatic uterine fibroids; uterine artery embolization; traditional surgeries; meta-analysis
-
摘要
-
Objective This study was aimed at comparing the outcomes of high-intensity focused ultrasound (HIFU) with those of uterine artery embolization (UAE) and traditional surgeries for treating symptomatic uterine fibroids. Materials and methods We searched the following databases from their beginning to 5 November 2021: PubMed, Medline, Embase and Cochrane Library. Results Overall, 21 studies were included in this meta-analysis. The results revealed that HIFU had a higher re-intervention rate than UAE (relative risk [RR] = 4.06, 95% confidence interval [CI]: 2.47-6.69) and offered no significant advantages in reducing the symptom severity score (SSS) (mean difference [MD] = 17.01, 95% CI: 10.25-23.77) and improving the health-related quality of life (HRQoL) score (MD= -18.32, 95% CI: -24.87 to -11.78) in the treatment of symptomatic uterine fibroids. However, compared with UAE, HIFU may be associated with a higher pregnancy rate (RR = 17.44, 95% CI: 2.40-126.50) and may have a significant advantage in shortening pregnancy interval and preserving ovarian function. Moreover, upon comparing HIFU with traditional surgical treatments, the HIFU group showed significantly improved HRQoL score (MD = 2.25, 95% CI: 1.15-3.35), but the re-intervention rate (RR = 1.65, 95% CI: 0.59-4.57), pregnancy rate (RR = 1.01, 95% CI: 0.90-1.13), SSS and ovarian function did not significantly differ between the two groups. Conclusions Although HIFU has relatively high re-intervention rate, it may offer a higher pregnancy rate and shorter pregnancy interval with little influence on ovarian function, thus making it an attractive option for treating symptomatic fibroids in young women who wish to plan a pregnancy in the future.
-
一级学科
-
Oncology; Radiology, Nuclear Medicine & Medical Imaging
-
WOS入藏号
-
WOS:000748387900001
-
EI收录号
-
-
DOI
-
10.1080/02656736.2022.2029956
-
ESI
-
-
收录于
-
SCIE
-
返回