Evidence map›Paper›PMID 38187000›Full record

ArticleAmerican journal of translational research2023

Effect of focused ultrasound ablation and myomectomy on pelvic adhesions in patients with uterine fibroids.

Haiyan Zhou, Li Shan, Yongmei Wang, Juan Wu, Meijun Guo, Jinhua Liu

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact, top 67% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Haiyan ZhouDepartment of Gynaecology III, Northwest Women's and Children's Hospital No. 1616 Yanxiang Road, Yanta District, Xi'an 710000, Shaanxi, China.
Li ShanDepartment of Gynaecology III, Northwest Women's and Children's Hospital No. 1616 Yanxiang Road, Yanta District, Xi'an 710000, Shaanxi, China.
Yongmei WangDepartment of Family Planning, Northwest Women's and Children's Hospital No. 1616 Yanxiang Road, Yanta District, Xi'an 710000, Shaanxi, China.
Juan WuDepartment of Gynaecology, Ordnance Industry 521 Hospital No. 12 Zhangba East Road, Yanta District, Xi'an 710065, Shaanxi, China.
Meijun GuoDepartment of Gynaecology, Ordnance Industry 521 Hospital No. 12 Zhangba East Road, Yanta District, Xi'an 710065, Shaanxi, China.
Jinhua LiuDepartment of Gynaecology, Ordnance Industry 521 Hospital No. 12 Zhangba East Road, Yanta District, Xi'an 710065, Shaanxi, China.
Northwest Women's and Children's Hospital · CNPeople 's Liberation Army 451 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effects of focused ultrasound ablation (FUSA) versus conventional myomectomy on pelvic adhesions and fertility in the treatment of uterine fibroids.

methodsThe clinical data of 114 patients with uterine fibroids admitted to Northwest Women's and Children's Hospital from February 2020 to January 2023 were retrospectively analyzed, among which 61 cases were treated with FUSA and 53 cases received myomectomy. The length of surgery, bleeding, hospitalization days, incidence of pelvic adhesions, and ovarian reserve function indexes (FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone) and E2 (Estradiol)) were compared between the two groups.

resultsCompared to the myomectomy group, the FUSA group had shorter operation time (P<0.001), no bleeding (P<0.001), less hospitalization (P<0.001), lower incidence of pelvic adhesion (P = 0.020), and less impairment of ovarian reserve function (Increased FSH, LH and E2, all P<0.001). Logistic regression analysis showed that the maximum diameter of leiomyoma ≥5 cm (P = 0.008), the number of pregnancies ≥3 (P = 0.003) and intraoperative hemorrhage (P = 0.004) were independent risk factors for pelvic adhesion.

conclusionsFUSA is a safe and effective non-invasive method for the treatment of uterine fibroids that reduces postoperative complications and protects fertility potential, especially for female patients with fertility concerns. Future studies need to overcome existing limitations to improve reliability of evidence.

Indexed as

focused ultrasound ablationmyomectomypelvic adhesionsreproductive functionUterine fibroids

Identifiers

PMID38187000
PMCPMC10767541
OpenAlexW4390689708

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.