子宮保留的低侵入性子宮肌瘤治療臨床建議

10.6666/ClinMed.201905_83(5).0047

吳華席；黃本湘；陳怡仁；王鵬惠

子宮肌瘤 ； 低侵入性 ； 子宮保留

臨床醫學月刊

83卷5期（2019 / 05 / 31）

282 - 286

繁體中文

子宮肌瘤是生育年齡婦女最常發生的腫瘤之一，發生在50－60%的女性中，其中約30%會出現月經血量過多、經痛、因肌瘤體積過大產生壓迫症狀、不孕症和產科併發症等等。臨床上對於有症狀的肌瘤患者，會先以藥物治療為第一考量，但是對於藥物治療效果不佳的病患，手術治療是經常施行的治療方式，包括肌瘤切除術或全子宮切除術。然而，有些婦女考量生育計劃或是個人因素不想接受子宮切除手術者，臨床上也有替代性的低侵入性子宮肌瘤治療方式，本文將介紹現行低侵入性的子宮肌瘤治療方式－射頻消融術（radiofrequency ablation, RFA）、子宮動脈栓塞（uterine artery embolization, UAE）和聚焦超音波（MR guidance focused ultrasound, MRgFUS or ultrasound guidance focused ultrasound, USgFUS, 海扶刀[high intensity focused ultrasound, HIFU]）。

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