Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid
Background Focused ultrasound ablation surgery (FUAS) has been widely employed to treat patients with uterine fibroid (UF). This study aimed to estimate myometrial stiffness changes in patients who received FUAS for UFs or myomectomy (ME) and compare the recovery of surrounding myometrium between FU...
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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/10.1080/02656736.2024.2362998 |
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| author | Ziyao Wang Yan Ma Jia Zhou Feng Jiang Jin-yun Chen Wen-zhi Chen |
| author_facet | Ziyao Wang Yan Ma Jia Zhou Feng Jiang Jin-yun Chen Wen-zhi Chen |
| author_sort | Ziyao Wang |
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| description | Background Focused ultrasound ablation surgery (FUAS) has been widely employed to treat patients with uterine fibroid (UF). This study aimed to estimate myometrial stiffness changes in patients who received FUAS for UFs or myomectomy (ME) and compare the recovery of surrounding myometrium between FUAS and ME groups. Our results may provide more evidence for guiding the proper conception timing in patients with UF.Methods This study enrolled 173 patients from May 2022 to August 2023. Shear wave elastography (SWE) was used to dynamically monitor myometrial elasticity changes in patients before and after surgery. Moreover, our study monitored and analyzed the stiffness changes in the targeted fibroid after FUAS, as well as in the myometrium around after FUAS or ME.Results The stiffness of the myometrium around the resected fibroid was significantly higher than at the preoperative level until 6 months. Conversely, the stiffness of the surrounding myometrium was only temporarily increased 1 day after FUAS. The comparison between FUAS and ME groups regarding the stiffness of the surrounding myometrium showed that nonsignificant differences were detected between the two groups before the treatment. The stiffness of the surrounding myometrium in the ME group was statistically significantly higher than that of the FUAS group 1 day as well as 1, 3, and 6 months after the treatment, respectively.Conclusion The FUAS had less impact on the surrounding myometrium than the ME, which may be more conducive to the recovery of myometrial elasticity in patients with UF. |
| format | Article |
| id | doaj-art-bd5251c9d20142fdb9d4f09bfefeb4d3 |
| institution | Kabale University |
| issn | 0265-6736 1464-5157 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
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| series | International Journal of Hyperthermia |
| spelling | doaj-art-bd5251c9d20142fdb9d4f09bfefeb4d32025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2362998Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroidZiyao Wang0Yan Ma1Jia Zhou2Feng Jiang3Jin-yun Chen4Wen-zhi Chen5State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaDepartment of Gynecology, The First Affiliated Hospital of University of South China, Hengyang, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital of University of South China, Hengyang, ChinaDepartment of Gynecology, The First Affiliated Hospital of University of South China, Hengyang, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaBackground Focused ultrasound ablation surgery (FUAS) has been widely employed to treat patients with uterine fibroid (UF). This study aimed to estimate myometrial stiffness changes in patients who received FUAS for UFs or myomectomy (ME) and compare the recovery of surrounding myometrium between FUAS and ME groups. Our results may provide more evidence for guiding the proper conception timing in patients with UF.Methods This study enrolled 173 patients from May 2022 to August 2023. Shear wave elastography (SWE) was used to dynamically monitor myometrial elasticity changes in patients before and after surgery. Moreover, our study monitored and analyzed the stiffness changes in the targeted fibroid after FUAS, as well as in the myometrium around after FUAS or ME.Results The stiffness of the myometrium around the resected fibroid was significantly higher than at the preoperative level until 6 months. Conversely, the stiffness of the surrounding myometrium was only temporarily increased 1 day after FUAS. The comparison between FUAS and ME groups regarding the stiffness of the surrounding myometrium showed that nonsignificant differences were detected between the two groups before the treatment. The stiffness of the surrounding myometrium in the ME group was statistically significantly higher than that of the FUAS group 1 day as well as 1, 3, and 6 months after the treatment, respectively.Conclusion The FUAS had less impact on the surrounding myometrium than the ME, which may be more conducive to the recovery of myometrial elasticity in patients with UF.https://www.tandfonline.com/doi/10.1080/02656736.2024.2362998Shear wave elastography (SWE)focused ultrasound ablation surgery (FUAS)uterine fibroid (UF)myomectomy (ME)ultrasound (US) |
| spellingShingle | Ziyao Wang Yan Ma Jia Zhou Feng Jiang Jin-yun Chen Wen-zhi Chen Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid International Journal of Hyperthermia Shear wave elastography (SWE) focused ultrasound ablation surgery (FUAS) uterine fibroid (UF) myomectomy (ME) ultrasound (US) |
| title | Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| title_full | Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| title_fullStr | Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| title_full_unstemmed | Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| title_short | Comparing the effect of FUAS and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| title_sort | comparing the effect of fuas and myomectomy on the elasticity of myometrium around targeted uterine fibroid |
| topic | Shear wave elastography (SWE) focused ultrasound ablation surgery (FUAS) uterine fibroid (UF) myomectomy (ME) ultrasound (US) |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2024.2362998 |
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