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目的探讨射频消融术治疗子宫肌瘤的临床疗效。方法选择自愿接受射频消融技术治疗子宫肌瘤的患者56例,在B超监视和引导下将射频治疗刀经阴道、宫颈置入病灶进行射频消融治疗,于手术后6、12个月随访。结果肌瘤大小、生长类型是影响疗效的主要因素,对黏膜下肌瘤射频消融治疗效果最佳,有效率达100.0%。该术式不适合治疗直径>5 cm的肌瘤。治疗后6个月71.79%月经恢复正常,58.07%痛经消失,59.18%下腹不适和膀胱、直肠压迫症状均消失。治疗后12个月82.05%患者月经恢复正常,74.19%痛经消失,73.47%下腹不适和膀胱、直肠压迫症状均消失。结论射频消融技术毁损肌瘤组织,使瘤体和子宫明显缩小,显著改善患者临床症状。
Objective To investigate the clinical effect of radiofrequency catheter ablation on uterine fibroids. Methods Fifty-six patients with uterine leiomyoma who underwent radiofrequency ablation were prospectively selected. Radiofrequency catheter ablation was performed under the surveillance and guidance of B-ultrasound. The patients were followed up for 6 and 12 months after operation. Results The size of fibroids and the type of growth were the main factors affecting the curative effect. The radiofrequency ablation treatment of submucous myoma was the best and the effective rate was 100.0%. The procedure is not suitable for the treatment of fibroids> 5 cm in diameter. At 6 months after treatment, 71.79% of menstruation returned to normal, 58.07% of dysmenorrhea disappeared, 59.18% of abdominal discomfort and symptoms of bladder and rectum oppression disappeared. At 12 months after treatment, menstruation returned to normal in 82.05% of the patients, 74.19% of dysmenorrhoea disappeared, 73.47% of abdominal discomfort and symptoms of bladder and rectum oppression disappeared. Conclusion Radiofrequency catheter ablation of myoma tissue damage, the tumor and uterine significantly reduced, significantly improve the clinical symptoms of patients.