Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility

被引:30
作者
Bouwsma, Esther V. A. [1 ]
Gorny, Krzysztof R. [2 ]
Hesley, Gina K. [2 ]
Jensen, Jani R. [1 ]
Peterson, Lisa G. [1 ]
Stewart, Elizabeth A. [1 ]
机构
[1] Mayo Clin, Div Reprod Endocrinol, Dept Obstet & Gynecol, Rochester, MN 55901 USA
[2] Mayo Clin, Dept Radiol, Rochester, MN 55901 USA
关键词
Fertility; focused ultrasound; FUS; leiomyomas; MRgFUS; pregnancy; randomized clinical trial; UTERINE FIBROIDS; MYOMECTOMY; OUTCOMES; MYOMAS;
D O I
10.1016/j.fertnstert.2011.04.056
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Objective: To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility. Design: Case report from a randomized clinical trial. Setting: Academic medical center. Patient(s): A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor. Intervention(s): Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity. Main Outcome Measure(s): Pregnancy. Result(s): A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle. Conclusion(s): The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further. (Fertil Steril (R) 2011; 96: e9-12. (C) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:E9 / E12
页数:4
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