摘要
目的探讨内在型子宫腺肌病(AD)采用聚焦超声消融手术(FUAS)治疗的临床效果。方法选取2021年1月至2022年10月平阴县中医医院收治的内在型AD患者180例,以随机数字表法分为研究组(n=90)和对照组(n=90)。对照组给予腹腔镜病灶切除术治疗,研究组给予FUAS治疗,比较两组围手术期指标、月经量、痛经程度、性激素水平及痛经复发率。结果研究组术中出血量少于对照组,手术时间、下床活动时间、恢复饮食时间、住院时间均短于对照组(P<0.05);术后6个月两组月经量、疼痛评分均低于术前,研究组低于对照组(P<0.05);两组术前、术后6个月雌二醇、卵泡刺激素、黄体生成素水平比较均无差异(P>0.05);两组痛经复发率比较无差异(P>0.05)。结论内在型AD采用FUAS治疗能够改善围手术期指标、月经量,降低痛经程度,且对性激素影响小。
Objective To explore the clinical effect of focused ultrasound ablation surgery(FUAS)in the treatment of internal adenomyosis(AD).Methods A total of 180 patients with internal AD admitted to Pingyin Hospital of Traditional Chinese Medicine from January 2021 to October 2022 were selected and divided into study group(n=90)and control group(n=90)by random number table method.The control group was treated with laparoscopic lesion resection,and the study group was treated with FUAS.The perioperative indicators,menstrual volume,degree of dysmenorrhea,sex hormone levels,and recurrence rate of dysmenorrhea were compared between the two groups.Results The intraoperative blood loss of the study group was less than that of the control group,and the operation time,time to get out of bed,time to resume diet,and length of hospital stay were shorter than those of the control group(P<0.05).At 6 months after operation,the menstrual volume and pain scores of the two groups were lower than those before operation,and those of the study group were lower than those of the control group(P<0.05).There were no significant differences in the levels of estradiol,follicle-stimulating hormone,and luteinizing hormone between the two groups before operation and at 6 months after operation(P>0.05).There was no difference in the recurrence rate of dysmenorrhea between the two groups(P>0.05).Conclusion FUAS in the treatment of internal AD can improve perioperative indicators and menstrual volume,reduce the degree of dysmenorrhea,and has little effect on sex hormones.
作者
王小曼
王景晓
刘昕朋
WANG Xiaoman;WANG Jingxiao;LIU Xinpeng(Department of Gynecology,Pingyin Hospital of Traditional Chinese Medicine,Shandong Province,Pingyin 250400,China;Department of Orthopedics,Pingyin Hospital of Traditional Chinese Medicine,Shandong Province,Pingyin 250400,China)
出处
《妇儿健康导刊》
2024年第19期25-28,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
