射频消融术治疗子宫黏膜下肌瘤临床研究.docVIP

射频消融术治疗子宫黏膜下肌瘤临床研究 　　[摘要] 目的 分析射频消融术治疗子宫黏膜下肌瘤的疗效。 方法 选择2007年1月～2012年10月经临床和超声检查确诊为子宫黏膜下肌瘤、采用射频消融术治疗的135例患者，观察手术时间、术中出血、肌瘤转归和治疗效果等。 结果 手术时间3～35（12.5±3.2）min；术中出血4～30（5.5±1.8）mL；治疗6个月后超声检查肌瘤消失99例，肌瘤直径减少80%以上22例，减少50%～80%14例。治愈率为89.6%，总有效率为100.0%。 结论 射频消融术治疗子宫黏膜下肌瘤具有微创、安全，手术时间短、术中出血少，治愈率高等优点。 [关键词] 射频消融术；子宫黏膜下肌瘤 [中图分类号] R737.3 [文献标识码] B [文章编号] 2095-0616（2013）14-201-02 Clinical analysis of radiofrequency ablation in the treatment of submucous myoma GAO Dongxia WANG Yihui CHEN Juan Department of Minimally Invasive Surgery Center of Obstetrics and Gynaecology，the No.520 Hospital of PLA，Mianyang 621000，China [Abstract] Objective To analyze the clinical effect of radiofrequency ablation in the treatment of submucous myoma. Methods 135 cases definited submucous myoma by clinical and ultrasonic examination from January 2007 to October 2012 were given radiofrequency ablation. The operation time， intraoperative blood loss， prognosis of myoma and treatment effect were observed. Results The operation time was 3-35（12.5±3.2）min；The intraoperative blood loss was 4-30（5.5±1.8）mL；Ultrasonography results after 6 months of the treatment show that the patients with disappearance of myoma were 99 cases，the patients with diameter of myoma decreasing more than 80% were 22 cases and with diameter of myoma decreasing between 50% to 80% were 14 cases.The cure rate was 89.6% and total effective rate was 100%. Conclusion Radiofrequency ablation in the treatment of submucous myoma has the advantages of minimally invasive，safe，short operation time，less intraoperative blood loss and high cure rate. [Key words] Radiofrequency ablation；Submucous myoma 随着医学的发展，人们对疾病的治疗越来越趋向微创。射频消融术治疗子宫肌瘤是一种新型的微创手术，它主要是利用射频电极发出的高频率射频波激发组织细胞中的离子运动，离子间的相互碰撞产热，使靶组织局部温度达到80～100℃，从而使病变组织凝固、变性、坏死，达到治疗目的。射频消融术治疗子宫肌瘤，避免了子宫切除术对患者造成的创伤和痛苦，使患者保留了完整的生殖器官和生育能力，维持了女性的正常健康心理，提高了生活质量。我院2007年1月～2012年10月采用射频消融术治疗子宫黏膜下肌瘤135例，取得满意效果，现分析报道如下。 1 资料与方法 1.1 一般资料 选择我院妇科2007年1月～2012年10月经临床和超声检查确诊的子宫黏膜下肌瘤患者135例，