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目的 :针对子宫良性病变患者,讨论实施微波消融治疗与腹腔镜手术的对比,同时在微波消融子宫良性病变声像图进行分析,为日后的临床治疗提供参考与指导。方法:将我院收治的子宫良性病变患者作为研究对象,选择年份为2014年12月-2016年10月,患者总计160例。在分组研究中,采用抽签的方法来完成,将160例子宫良性病变患者划分为两组,包括观察组与对照组。针对对照组患者,实施腹腔镜手术;针对观察组患者,实施微波消融,对比两组患者的临床疗效。结果:经过临床统计,观察组患者显效45例,占比56.25%;有效34例,占比42.5%;无效1例,占比1.25%,治疗总有效率为98.75%。对照组患者显效43例,占比53.75%;有效32例,占比40.0%;无效5例,占比6.25%,治疗总有效率为93.75%,两组患者比较差异无统计学意义,P>0.05。从微波消融声像图来分析,由于患者自身体质的差异性,因此在造影的增强方式表现不同,但可以根据造影剂进入后的状态以及呈现的图像做出有效判断。在治疗完毕后,患者的病灶有效消融区域,呈现出了边缘毛糙的类似于球形的形态,或者是表现出不规则形态的增强区,判断为微波热汤没有完全消散的气泡所影响,不影响疗效判断。结论 :针对子宫良性病变患者,微波消融治疗与腹腔镜手术,均是可行性、可靠性较高的治疗方案,可以为患者提供较多的帮助,对患者的积极作用突出。使用微波消融治疗时,和结合微波消融声像图变化来完成,能够提供更多的参考与治疗,因此在日后治疗中,比较建议将微波消融治疗推广应用。
OBJECTIVE: To compare the results of microwave ablation and laparoscopic surgery for patients with benign uterine lesions and analyze the ultrasonography of benign lesions of microwave ablation uterus, providing reference and guidance for future clinical treatment. Methods: The patients with benign uterine lesions treated in our hospital were selected as the research object. The year of selection was from December 2014 to October 2016, with a total of 160 patients. In the group study, the method of drawing lottery was used to divide 160 patients with benign uterine lesions into two groups, including the observation group and the control group. For the control group of patients, the implementation of laparoscopic surgery; for the observation group of patients, the implementation of microwave ablation, compared the clinical efficacy of two groups of patients. Results: After clinical statistics, the observation group of patients markedly effective in 45 cases, accounting for 56.25%; effective in 34 cases, accounting for 42.5%; ineffective in 1 cases, accounting for 1.25%, the total effective rate was 98.75%. In the control group, 43 cases were markedly effective, accounting for 53.75%; 32 cases were effective, accounting for 40.0%; 5 cases were ineffective, accounting for 6.25% and the total effective rate was 93.75%. There was no significant difference between the two groups (P> 0.05. From the microwave ablation sonography to analyze, due to the differences in the patient’s own constitution, so the contrast enhancement mode performance, but according to the contrast agent into the state and the image to make an effective judgment. After the treatment, the lesion in the patient effectively ablates, presenting a rough-edged spheroid-like morphology or an irregular enhancement zone, which is not affected by the bubble disappearing completely Judgment of efficacy. Conclusion: For patients with benign uterine lesions, microwave ablation and laparoscopic surgery are feasible and reliable treatment options, which can provide more help to patients and have a positive effect on patients. The use of microwave ablation therapy, combined with changes in microwave ablation ultrasound images to complete, can provide more information and treatment, so in the future treatment, it is recommended to promote the use of microwave ablation.