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高强度聚焦超声消融治疗子宫肌瘤的临床效果 被引量:4

Clinical effect of high-intensity focused ultrasound ablation on uterine fibroids
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摘要 目的研究高强度聚焦超声消融治疗子宫肌瘤的临床效果。方法选取靖江市人民医院2019年1月~2020年1月收治的44例子宫肌瘤患者作为研究对象,根据随机数字表法分为对照组(22例)与观察组(22例)。对照组采取经腹子宫肌瘤剔除术治疗,观察组采用高强度聚焦超声消融治疗,比较两组患者的手术情况、子宫肌瘤症状(UFS)评分、生活质量(QOL)评分。结果观察组术中出血量少于对照组,观察组住院时间和术后恢复活动时间短于对照组,观察组患者治疗后1个月的QOL评分高于对照组,差异均有统计学意义(P<0.05)。两组手术时间和治疗后1个月的UFS评分比较,差异无统计学意义(P>0.05)。结论对于子宫肌,高强度聚焦超声消融治疗属于无创伤治疗,可以有效缩短住院时间、术后恢复自主活动时间,同时改善患者的子宫肌瘤症状、生活质量,效果显著,适宜临床应用推广。 Objective To study the clinical effect of high-intensity focused ultrasound ablation on uterine fibroids.Methods From January 2019 to January 2020,a total of 44 patients with uterine fibroids treated in Jingjiang People′s Hospital were selected as the research subjects.They were divided into a control group(22 cases)and an observation group(22 cases)according to the random number table method.In the control group,patients were treated with transabdominal myomectomy,and in the observation group,high-intensity focused ultrasound ablation was used.The surgical conditions,uterine fibroids symptom(UFS)score,and quality of life(QOL)score were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,the hospitalization time and postoperative recovery time of the observation group were shorter than those of the control group.The QOL score of the observation group was higher than that of the control group one month after treatment,and the differences were statistically significant(P<0.05).There were no statistically significant differences between the two groups of operation time and UFS score 1 month after treatment(P>0.05).Conclusion For the uterine muscle,high-intensity focused ultrasound ablation is a non-invasive treatment,which can effectively shorten the hospitalization time and postoperative autonomous activity time,while improving the patient′s uterine fibroids symptoms and quality of life.The effect is significant and suitable for clinical application and promotion.
作者 周丹 蒋镌 ZHOU Dan;JIANG Juan(Department of Obstetrics and Gynecology,Jingjiang People′s Hospital,Jiangsu Province,Jingjiang214500,China;不详)
出处 《中国当代医药》 2020年第32期124-126,共3页 China Modern Medicine
关键词 高强度聚焦超声消融 子宫肌瘤 临床效果 经腹子宫肌瘤剔除术 High-intensity focused ultrasound ablation Uterine fibroids Clinical effect Transabdominal myomectomy
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