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目的探讨B超引导下射频治疗子宫肌瘤的临床价值。方法 2006年10月至2009年10月选择自愿接受射频治疗子宫肌瘤的患者160例,在B超引导下将自凝刀经阴道、宫颈、宫腔介入到子宫肌瘤内进行射频治疗,并经超声随访观察疗效。结果 160例177个肌瘤经射频治疗,以带蒂黏膜下肌瘤效果最佳,治愈率100%;肌壁间肌瘤治疗效果亦佳,治愈率64.44%,二者相比差异无统计学意义(P>0.05)。直径<3 cm的肌壁间肌瘤效果亦佳,治愈率88.89%;直径3~5 cm的肌壁间肌瘤,治愈率27.78%,两者相比差异有统计学意义(P<0.05)。结论超声引导下射频治疗子宫肌瘤是一种操作简单、疗效肯定的微创技术,以带蒂黏膜下肌瘤及直径<3 cm的肌壁间肌瘤治疗效果最佳。
Objective To investigate the clinical value of radiofrequency guided ultrasonography in the treatment of uterine fibroids. Methods From October 2006 to October 2009, 160 patients who underwent radiofrequency ablation of uterine fibroids voluntarily underwent radiofrequency ablation by transvaginal knife, vagina, cervix and uterine cavity under the guidance of B-ultrasound. Follow-up by ultrasound to observe the effect. Results 160 cases of 177 fibroids were treated by radiofrequency and pedicle submucosal fibroids, the cure rate was 100%. The treatment effect of intramural fibroids was also good, the cure rate was 64.44%, there was no statistical difference between the two Significance (P> 0.05). The intramural fibroids with a diameter less than 3 cm were also effective, with a cure rate of 88.89%. The intramural fibroids with a diameter of 3 ~ 5 cm had a cure rate of 27.78%, showing significant difference (P <0.05) . Conclusion Ultrasound-guided radiofrequency treatment of uterine fibroids is a minimally invasive technique with simple operation and definite curative effect. The treatment of pedunculated submucosal fibroids and intramural fibroids <3 cm in diameter is the best.