摘要
目的探讨超声在射频消融术治疗子宫腺肌瘤中的临床价值。方法选择自愿接受超声引导下射频治疗子宫腺肌瘤的患者54例,根据术中腺肌瘤治疗范围分为大于腺肌瘤边界2 mm、等于腺肌瘤边界和小于腺肌瘤边界2 mm三组,于术后1、3及6个月行超声及临床随访,比较三组的疗效。结果三组患者在射频消融术后1、3、6个月子宫腺肌瘤体积均逐渐缩小,瘤体回声均明显增强呈高回声,随时间延长,10例瘤体内出现局部液化及钙化灶。三组治疗6个月后的总有效率比较差异无统计学意义(P>0.05)。治疗后,54例患者中50例临床症状明显好转或消失,大于腺肌瘤边界2 mm组中和等于腺肌瘤边界组各2例临床症状无明显改善。治疗后,54例患者均无严重并发症,大于腺肌瘤边界2 mm组中4例出现腰酸腹痛症状。结论子宫腺肌瘤治疗范围在大于腺肌瘤边界2 mm、等于腺肌瘤边界和小于腺肌瘤边界2 mm时同样有效,而后两组更快捷、便利、安全。超声在射频消融治疗子宫腺肌瘤的术前、术中、术后等阶段均具有重要作用。
Objective To investigate the clinical value of ultrasound in adenomyoma treatment with radiofrequency ablation.Methods A total of 54 women with uterine adenomyoma underwent ultrasound guided radiofrequency ablation and were divided into three group by operationrange： outside the boundaries 2 mm,boundaries and within the boundaries 2 mm. Clinical follow-up was performed after radiofrequency ablation 1,3 and 6 months and the curative effect of three groups was compared. Results There was not significant difference in total effective rate of three different rang treatment groups of adenomyoma. Conclusion The three group of different operation range show the equally effective while the last group is faster,easier and safer. Ultrasound has an important role in preoperative,intraoperative and postoperative phases.
出处
《临床和实验医学杂志》
2011年第15期1182-1185,共4页
Journal of Clinical and Experimental Medicine
关键词
子宫腺肌瘤
超声
射频消融术
Adenomyoma
Ultrasound
Radiofrequency ablation
