摘要
目的:分析射频消融术治疗子宫腺肌瘤的临床实用价值。方法:选取尉氏县第三人民医院2015年1月至2017年1月收治的子宫腺肌瘤患者110例进行射频消融术治疗。根据腺肌瘤的最大径线分为A(≤5 cm,n=57)、B(5~6 cm,包括6 cm,n=28)、C(6~7 cm,n=25)三组,对手术时间进行观察记录,并记录下手术过程中的出血量,以及对手术后抗菌药物的使用情况进行记录。手术后持续跟踪观察6个月,并记录术后疗效与恢复情况,6个月后对三组患者的临床资料以及术后恢复情况进行分析。结果:在射频针不变的情况下,临床恢复效果与肌瘤的大小成负相关,并且其差异具有统计学意义(P <0.05)。而对于瘤体最大径线≤5 cm的患者,射频消融技术的治愈率显著(有效率为98.2%)。手术操作的过程也与腺肌瘤的大小密切相关,随着瘤体体积的增大手术时间延长、术中出血量增加也随之增加,A、B、C组两两比较,差异具有统计学意义(P <0.05);随着瘤体增大,手术后抗菌药物的使用天数也逐渐增加,差异具有统计学意义(P <0.05)。结论:射频消融术对于治疗子宫腺肌瘤是可行的,有一定的实用价值。
Objective Analysis the practical value of radiofrequency ablation in the treatment of uterine adenomyoma. Methods A total of 110 patients in the third people＇s hospital of Yushi county with adenomyoma of uterus from January 2015 to January 2017 were selected for radiofrequency ablation. According to the biggest diameter of adenomyoma line is divided into A（5 cm or less）, B（5-6 cm, 6 cm）, C（6-7 cm） above three groups, the observation group, operation time, intraoperative blood loss, postoperative complications. The clinical data of 104 patients with uterine adenomyoma were analyzed and the postoperative recovery was analyzed after 6 months. Results Under the condition of invariable in rf needle, the clinical curative effect and decreases with the tumors present trends, the difference was statistically significant（P〈0.05）, for line 5 cm or less of tumors had the largest diameter, clinical curative effect obviously（effective rate of 98.2 %）. Adenomyoma there is A close relationship between size and operation process, operation time prolonged with the increase of the volume of tumors, intraoperative blood loss, puncture times also will increase, and comparing two group A, B, C have significant difference（P〈0.05）; as the tumor increased, the postoperative complications gradually increased（P〈0.05）. Conclusions Radiofrequency ablation is feasible to treat uterine adenomyoma and has certain practical value.
作者
孙桂芬
SUN Gui-fen(The Third People＇s Hospital of Yushi County,Henan Yushi 47550)
出处
《深圳中西医结合杂志》
2018年第19期176-178,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
射频消融术
子宫腺肌瘤
微创手术
Radiofrequency ablation
Uterine adenomyoma
Minimally invasive surgery
