Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study
Introduction Microwave ablation (MWA) effectively treats adenomyosis, yet symptom recurrence remains challenging. Thus, our study aims to explore the independent risk factors related to symptom recurrence after MWA of symptomatic adenomyosis.Material and methods Patients with symptomatic adenomyosis...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2024.2429556 |
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| author | Sainan Guan Yongyan He Xi Zhou Jinxiu Wan Haijing Peng Guojuan Bu Shuang Liang Huahui Liu Shiying Huang Erjiao Xu |
| author_facet | Sainan Guan Yongyan He Xi Zhou Jinxiu Wan Haijing Peng Guojuan Bu Shuang Liang Huahui Liu Shiying Huang Erjiao Xu |
| author_sort | Sainan Guan |
| collection | DOAJ |
| description | Introduction Microwave ablation (MWA) effectively treats adenomyosis, yet symptom recurrence remains challenging. Thus, our study aims to explore the independent risk factors related to symptom recurrence after MWA of symptomatic adenomyosis.Material and methods Patients with symptomatic adenomyosis who received MWA treatment at our institute from June 2020 to June 2023 were retrospectively included. Preoperative and intraoperative clinical data were retrospectively collected, and symptom relief following MWA was systematically monitored. Independent risk factors for symptom recurrence after MWA of adenomyosis were explored through Cox regression analysis. Kaplan-Meier (K-M) curves were plotted to estimate recurrence-free survival, and differences between groups were analyzed using the Log-Rank test.Result In total, 38 patients with adenomyosis were included, with a median follow-up duration of 15 months (interquartile range: 10-23 months). Among them, 81.58% (31/38) of patients experienced significant symptom relief, while 18.42% (7/38) reported partial relief, culminating in a clinical success rate of 100%. The symptom recurrence rate was 21.05% (8/38). Multivariate COX proportional hazards regression indicated that the fertility requirement, the absence of artificial ascites during the MWA procedure, and inadequate EPV (<524 J/cm3) were independent risk factors for symptom recurrence after MWA of adenomyosis.Conclusion MWA is an effective treatment for relieving symptoms of adenomyosis. While fertility requirements, without artificial ascites assistance, and lower EPV were independent risk factors for symptom recurrence after MWA of adenomyosis. |
| format | Article |
| id | doaj-art-26ce03fa79c04cab88ec57a45b5e7e80 |
| institution | Kabale University |
| issn | 0265-6736 1464-5157 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj-art-26ce03fa79c04cab88ec57a45b5e7e802025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2429556Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective studySainan Guan0Yongyan He1Xi Zhou2Jinxiu Wan3Haijing Peng4Guojuan Bu5Shuang Liang6Huahui Liu7Shiying Huang8Erjiao Xu9Department of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Medical Ultrasonics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaIntroduction Microwave ablation (MWA) effectively treats adenomyosis, yet symptom recurrence remains challenging. Thus, our study aims to explore the independent risk factors related to symptom recurrence after MWA of symptomatic adenomyosis.Material and methods Patients with symptomatic adenomyosis who received MWA treatment at our institute from June 2020 to June 2023 were retrospectively included. Preoperative and intraoperative clinical data were retrospectively collected, and symptom relief following MWA was systematically monitored. Independent risk factors for symptom recurrence after MWA of adenomyosis were explored through Cox regression analysis. Kaplan-Meier (K-M) curves were plotted to estimate recurrence-free survival, and differences between groups were analyzed using the Log-Rank test.Result In total, 38 patients with adenomyosis were included, with a median follow-up duration of 15 months (interquartile range: 10-23 months). Among them, 81.58% (31/38) of patients experienced significant symptom relief, while 18.42% (7/38) reported partial relief, culminating in a clinical success rate of 100%. The symptom recurrence rate was 21.05% (8/38). Multivariate COX proportional hazards regression indicated that the fertility requirement, the absence of artificial ascites during the MWA procedure, and inadequate EPV (<524 J/cm3) were independent risk factors for symptom recurrence after MWA of adenomyosis.Conclusion MWA is an effective treatment for relieving symptoms of adenomyosis. While fertility requirements, without artificial ascites assistance, and lower EPV were independent risk factors for symptom recurrence after MWA of adenomyosis.https://www.tandfonline.com/doi/10.1080/02656736.2024.2429556Microwave ablationadenomyosissymptom recurrenceultrasoundrisk factors |
| spellingShingle | Sainan Guan Yongyan He Xi Zhou Jinxiu Wan Haijing Peng Guojuan Bu Shuang Liang Huahui Liu Shiying Huang Erjiao Xu Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study International Journal of Hyperthermia Microwave ablation adenomyosis symptom recurrence ultrasound risk factors |
| title | Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study |
| title_full | Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study |
| title_fullStr | Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study |
| title_full_unstemmed | Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study |
| title_short | Risk factors for symptom recurrence after microwave ablation of adenomyosis: a preliminary retrospective study |
| title_sort | risk factors for symptom recurrence after microwave ablation of adenomyosis a preliminary retrospective study |
| topic | Microwave ablation adenomyosis symptom recurrence ultrasound risk factors |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2024.2429556 |
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