摘要
目的：比较射频消融术与小切口手术及传统手术治疗子宫肌瘤的临床疗效。方法选取子宫肌瘤患者120例，采用随机数字表法分为对照组、小切口组和射频消融术组，每组均为40例患者。射频消融术组给予射频消融术，小切口组给予经腹小切口手术（切口＜6 cm），对照组给予传统开腹手术（切口约10 cm）。对三组患者的手术时间、术后肛门排气时间、术后下床时间、住院时间、术中出血量、并发症发生率及复发率进行比较。结果射频消融术组手术时间、住院时间、术后肛门排气时间、术后下床时间及术中出血量分别为（78．62±15．45）min、（5．26±1．94）d、（20．17±2．45）h、（6．17±2．45）d、（9．53±1．35）mL，小切口组分别为（90．64±18．16）min、（7．76±2．59）d、（29．17±2．45）h、（10．78±2．42）d、（107．94±62．37）mL，对照组分别为（115．67±17．93）min、（8．65±4．14）d、（38．40±4．81）h、（19．76±3．23）d、（217．62±14．25）ml，射频消融术组均优于小切口组（t＝4．32、3．67、2．84、5．37、6．49，均P＜0．05）和对照组（t＝2．69、4．83、4．27、1.25、2.81，均 P ＜0．05）；射频消融术组并发症发生率（5．00％）低于小切口组（12．50％）及对照组（17.50％），差异均有统计学意义（χ2＝5．36、3．89，均P＜0．05）。射频消融术组1年复发率、2年复发率均高于小切口组及对照组，但差异无统计学意义（χ2＝0．37、0．64，均P＞0．05）。结论应用射频消融术手术可以安全有效地治疗子宫肌瘤，缩短手术时间和住院时间，降低术后并发症发生率，但术后复发率是值得关注的问题。
Objective To compare the clinical efficacy of radiofrequency ablation operation with small inci -sion operation and traditional operation in the treatment of uterine fibroids .Methods 120 patients with myoma of uterus were randomly divided into the control group ,small incision group and radiofrequency ablation operation group , each group had 40 patients.Radiofrequency ablation operation group were given radiofrequency ablation operation , small incision group were treated with abdominal small incision operation （the legth of incision 〈6 cm）,the control group were given the traditional open operation （ edge about 10cm）.The operation time,postoperative anal exhaust time,postoperative ambulation time,hospitalization time,bleeding volume and the incidence of complications and recurrence rate of patients in the three groups were compared .Results The operation time,hospitalization time,post-operative anal exhaust time ,postoperative ambulation time and amount of bleeding of the radiofrequency ablation group were （78.62 ±15.45）min,（5.26 ±1.94）d,（20.17 ±2.45）h,（6.17 ±2.45）d,（9.53 ±1.35）mL,small incision group were （90.64 ±18.16）min,（7.76 ±2.59）d,（29.17 ±2.45）h,（10.78 ±2.42）d,（107.94 ±62.37）mL,the control group respectively（115.67 ±17.93）min,（8.65 ±4.14）d,（38.40 ±4.81）h,（19.76 ±3.23）d,（217.62 ± 14.25）mL,radiofrequency ablation group was superior to the small incision group （t=4.32,3.67,2.84,5.37,6.49, all P〈0.05）and control group（t=2.69,4.83,4.27,1.25,2.81,all P〈0.05）.The incidence of complications of radiofrequency ablation group （5%） was lower than that of the small incision group （12.50%） and control group （17.50%）,the difference was statistically significant （χ2 =5.36,3.89,all P〈0.05）.Radiofrequency ablation oper-ation in patients with relapse rate at 1 year and 2 years recurrence rate were higher than that of the small incision group and control group,but had no statistical difference （χ2 =0.37,0.
出处
《中国基层医药》
CAS
2015年第6期813-816,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
射频消融术手术
小切口
子宫肌瘤
临床疗效
Radiofrequency ablation operation
Small incision
Myoma of uterus
Clinical effect
