多发子宫肌瘤高强度聚焦超声治疗与生育

Pregnancy outcome of patients with multiple uterine fibroids treated with high intensity focused ultrasound

子宫肌瘤是最常见的女性生殖系统良性肿瘤,子宫肌瘤导致的不孕占所有不孕症患者的5%~10%。子宫肌瘤对于妊娠不同时期及分娩期、产褥期均可造成不良影响。多发子宫肌瘤患者占子宫肌瘤患者的50%,多发子宫肌瘤患者常比单发子宫肌瘤患者更易出现临床症状,且症状更严重,对生育的影响也更大。手术挖出肌瘤是治疗有生育要求的多发子宫肌瘤的首选方法。但因肌瘤多,手术对子宫损伤大,且术后恢复时间长。高强度聚焦超声（HIFU）治疗多发子宫肌瘤,可减少对有生育要求的多发子宫肌瘤患者子宫的损伤,缩短术后备孕时间。

Studies have shown that 5%- 10% of the patients with infertility are related to uterine fibroids. Except infertility, fibroids are also associated with adverse pregnancy outcomes. Patients with mul- tiple uterine fibroids account for 50% of patients with uterine fibroids. Multiple uterine fibroids are of- ten more likely to cause symptoms than solitary uterine fibroid and symptoms are more severe, and the impact on fertility is also greater. Myomectomy is the treatment of choice for patients with uterine fibroids who wish to have babies. However, since the patients have multiple fibroids, removing all the fi- broids will cause major injury to the uterus and along recovery time is needed. As a non-invasive treatment modality, high intensity focused ultrasound （HIFU） can be used to treat patients with multiple uterine fibroids who wish to have babies. This non-invasive treatment can minimize the harm to the uterus, and shorten the recovery time for pregnancy.