{"id":255,"title":"[Image-guided minimally invasive treatment options for endometriosis]","title_zh":"子宫内膜异位症的影像引导微创治疗选择","url":"https://pubmed.ncbi.nlm.nih.gov/42975651","doi":"10.1007/s00117-026-01674-8","pmid":"42975651","journal":"Radiologie (Heidelb)","kind":"paper","lang":"en","published_at":"2026-11-03T00:00:00+00:00","fetched_at":"2026-11-08T03:44:00+00:00","authors":["Kostrzewa M"],"primary_topic":"endometrium","topics":[{"slug":"endometrium","score":4.0,"hits":["endometriosis"]},{"slug":"oocyte","score":1.0,"hits":["ovarian"]},{"slug":"ethics-policy","score":1.0,"hits":["guideline"]}],"topic_score":4.0,"preference_score":0.0,"preference_labels":[],"llm_score":64.0,"final_score":64.0,"score_dims":{"novelty":45,"rigor":55,"impact":58,"relevance":62,"translation":62},"recommend_reason":"对子宫内膜异位症的介入微创治疗做了清晰分层概述，临床可参考；但属叙述性综述、无原始数据或系统评价，且与辅助生殖核心环节距离较远，值得浏览而非必读。","keywords":["子宫内膜异位症","影像引导治疗","经皮冷冻消融","高强度聚焦超声","微创治疗"],"selected":1,"story_id":142,"llm_provider":"deepseek","llm_model":"deepseek-flash","llm_effort":"low","source_key":"pubmed-uterus-pregnancy","source_name":"PubMed · 内膜/植入/早孕","source_tier":1,"mention_count":1,"has_interpretation":false,"journal_key":null,"journal_tier":"unknown","journal_if":null,"is_mock":false,"summary_zh":"该文为结构化综述，概述子宫内膜异位症的影像引导微创治疗，重点讨论经皮冷冻消融。文章指出，经皮冷冻消融对腹膜外和肌内病灶证据最强，可作为手术切除的微创替代方案，并以3例机构病例说明技术与结局；乙醇硬化治疗已用于卵巢子宫内膜异位囊肿，高强度聚焦超声对腹壁病变有前景，射频消融和微波消融仍处于研究阶段。结论认为介入放射学治疗谱系正在扩展，但需前瞻性随机试验以纳入指南。","summary":"BACKGROUND: Endometriosis affects approximately 10% of women of reproductive age with a mean diagnostic delay of 7-10 years. Image-guided procedures show increasingly promising results as minimally invasive alternatives to excision. OBJECTIVE: Structured overview of image-guided minimally invasive treatment options for endometriosis with focus on percutaneous cryoablation. RESULTS: Percutaneous cryoablation demonstrates the strongest evidence for extraperitoneal and intramuscular lesions and represents a valid minimally invasive alternative to excision. Three institutional cases illustrate technique and outcomes. Ethanol sclerotherapy is established for ovarian endometriomas. High-intensity focused ultrasound (HIFU) shows promising results for abdominal wall disease; radiofrequency ablation (RFA) and microwave ablation are investigational. CONCLUSION: Interventional radiology offers a growing therapeutic spectrum. Prospective randomized trials are needed for guideline integration.","interpretation_basis":null,"fulltext_status":null,"interpretation":null,"fulltext":{"available":false,"status":null,"reason":"尚未抓取全文（未入选、分数未达阈值，或还没跑 fulltext 步骤）","pmcid":null,"license":null,"chars":0,"source":null,"fetched_at":null}}