HIFU 目前和未来在妇产科中的作用

IF 5.6 4区 医学 Q1 ENGINEERING, BIOMEDICAL
Irbm Pub Date : 2024-02-01 DOI:10.1016/j.irbm.2023.100819
Benoit De La Fourniere , Manon Basso , Morgane Dairien , Cyril Huissoud , Cyril Lafon , Gil Dubernard , Marion Cortet , David Melodelima , Charles-André Philip
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引用次数: 0

摘要

妇产科是一个超声诊断领域,尤其是在先天缺陷筛查和妊娠监测方面,超声诊断很快就占据了一席之地,同时也是一个广泛使用超声治疗的专科。在盆腔妇科方面,HIFU 治疗更多地是用于两种子宫疾病:子宫肌瘤和子宫腺肌症。在这两种情况下,研究都显示出在减少与病症相关的疼痛和出血方面有显著疗效,其次是(较为温和但仍然显著)减少病变的体积。对于直肠乙状结肠子宫内膜异位症,临床数据显示其治疗可行性良好,对消化道和妇科疼痛症状以及生活质量有显著疗效,且无相关严重并发症。如果随着时间的推移,HIFU 治疗子宫内膜异位症的疗效得到证实,它将为直肠乙状结肠手术提供一种有效的微创替代方法,从而彻底改变消化道子宫内膜异位症的治疗方法。在老年医学领域,明显的疤痕会对心理产生特别大的影响,因此一些研究小组一直在研究利用 HIFU 治疗某些类型的乳腺病变(乳腺纤维腺瘤和乳腺肿瘤)。在产科领域,HIFU 可能成为治疗血管异常(如双胎妊娠中的双胎输血综合征)的首选方法。关于利用 HIFU 治疗产后胎盘早剥的研究也很有前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current and Future Role of HIFU in Obstetric Gynaecology

Obstetric gynaecology, as a field in which diagnostic ultrasound has quickly found its place, especially in screening for birth defects and monitoring pregnancies, is also a speciality in which therapeutic ultrasound is used extensively.

In pelvic gynaecology, HIFU therapy is used more specifically in two types of uterine conditions: fibroids and adenomyosis. In both cases, studies have shown significant efficacy in reducing pain and bleeding associated with the conditions, secondarily (more moderately but still significantly) reducing the volume of the lesions. Impact on fertility has yet to be demonstrated.

In rectosigmoid endometriosis, clinical data indicates good treatment feasibility and significant efficacy on digestive and gynaecologic pain symptoms, as well as on quality of life, with no associated severe complications. Should the efficacy of HIFU in treating endometriosis be confirmed over time, it could revolutionise the management of digestive endometriosis by offering a valid minimally invasive alternative to rectosigmoid surgery.

In senology, where visible scars have a particularly significant psychological impact, several teams have been researching the use of HIFU for the destruction of some types of breast lesions (fibroadenomas and breast tumours).

In obstetrics, HIFU could become a treatment of choice for vascular anomalies such as twin-to-twin transfusion syndrome in twin pregnancies. Promising studies are also available regarding the use of HIFU in the treatment of post-partum placenta accreta.

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来源期刊
Irbm
Irbm ENGINEERING, BIOMEDICAL-
CiteScore
10.30
自引率
4.20%
发文量
81
审稿时长
57 days
期刊介绍: IRBM is the journal of the AGBM (Alliance for engineering in Biology an Medicine / Alliance pour le génie biologique et médical) and the SFGBM (BioMedical Engineering French Society / Société française de génie biologique médical) and the AFIB (French Association of Biomedical Engineers / Association française des ingénieurs biomédicaux). As a vehicle of information and knowledge in the field of biomedical technologies, IRBM is devoted to fundamental as well as clinical research. Biomedical engineering and use of new technologies are the cornerstones of IRBM, providing authors and users with the latest information. Its six issues per year propose reviews (state-of-the-art and current knowledge), original articles directed at fundamental research and articles focusing on biomedical engineering. All articles are submitted to peer reviewers acting as guarantors for IRBM''s scientific and medical content. The field covered by IRBM includes all the discipline of Biomedical engineering. Thereby, the type of papers published include those that cover the technological and methodological development in: -Physiological and Biological Signal processing (EEG, MEG, ECG…)- Medical Image processing- Biomechanics- Biomaterials- Medical Physics- Biophysics- Physiological and Biological Sensors- Information technologies in healthcare- Disability research- Computational physiology- …
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