摘要
目的探讨射频消融术治疗子宫肌瘤的临床价值。方法选择自愿接受射频消融术治疗子宫肌瘤的患者192例,在B超监视和引导下将射频治疗刀经阴道宫颈置入病灶进行射频消融治疗,于治疗后1、3、6、12、24个月随访。结果射频消融治疗后子宫及其肌瘤体积呈进行性缩小,治疗后6个月、12个月和24个月肌瘤体积分别缩小74.6%、78.8%和81.5%,子宫体积分别缩小48.7%、51.9%和53.1%;88.7%(102/115)的患者术后月经恢复正常,贫血全部得到纠正;原有痛经消失的有50.9%(26/51)。总有效率为97.9%(188/192),治愈率为64.0%(123/192)。对黏膜下肌瘤射频消融治疗效果最佳,有效率达100.0%(67/67),治愈率达85.1%(57/67)。肌瘤大小、生长类型和变性率是影响疗效的主要因素。结论射频消融术毁损肌瘤组织,使瘤体和子宫明显缩小,显著改善临床症状。
Objective To probe the effectiveness of clinical application of radiofrequency ablation for uterine myomas, Methods Totally, 192 cases of uterine myomas voluntarily accepting radiofrquency ablation were selected. A radiofrequency therapy knife with high-frequency electric current was inserted into the focus of myoma via vagina and cervix under the monitoring and directing of B-ultrusonography. All the patints were followed up one, three, six, 12 and 24 months after operation. Results After treatment, size of myoma and that of the uterus decreased by 74. 6%, 78.8% , 81.5% and 48. 7% , 51.9% , 53. 1%, six, 12 and 24 months after radiofrequency ablation, respectively. Menstruation restored to normal in 88.7% （102/115） of the patients, anemia was cured in all the patients, and menalgia disappeared in 50. 9% （26/51） of them after operation, with an overall effective rate of 97.9% （188/192） and cure rate of 64. 0% （123/192）. Treatment with radiofrequency ablation was optimal for the patients of submucous myoma, with an overall effective rate of 100. 0% （67/67） and cure rate of 85. 1% （57/67）. Effectiveness of the treatment depended mainly on the diameter and type of myoma and its degeneration and necrosis. Conclusion Radiofrequency ablation could destroy myoma tissues causing obvious reduction of size of the tumor and uterus and relief of clinical symptoms.
出处
《中华全科医师杂志》
2006年第2期93-97,共5页
Chinese Journal of General Practitioners
关键词
平滑肌瘤
导管消融术
超声检查
Uterine myoma
Radiofrequency ablation
Ultrasonography
