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目的探讨射频消融术治疗子宫肌瘤的临床价值。方法选择自愿接受射频消融术治疗子宫肌瘤的患者192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,于治疗后1、3、6、12、24个月随访。结果射频消融治疗后子宫及其肌瘤体积呈进行性缩小,治疗后6个月、12个月和24个月肌瘤体积分别缩小74.6%、78.8%和81.5%,子宫体积分别缩小48.7%、51.9%和53.1%;88.7%(102/115)的患者术后月经恢复正常,贫血全部得到纠正;原有痛经消失的有50.9%(26/51)。总有效率为97.9%(188/192),治愈率为64.0%(123/192)。对黏膜下肌瘤射频消融治疗效果最佳,有效率达100.0%(67/67),治愈率达85.1%(57/67)。肌瘤大小、生长类型和变性率是影响疗效的主要因素。结论射频消融术毁损肌瘤组织,使瘤体和子宫明显缩小,显著改善临床症状。
Objective To investigate the clinical value of radiofrequency ablation in the treatment of uterine fibroids. Methods A total of 192 patients with uterine leiomyoma who underwent radiofrequency catheter ablation were selected. Radiofrequency catheter ablation was performed on the patients undergoing B-ultrasound surveillance and guidance. Month follow-up. Results After radiofrequency ablation, the volume of uterus and its myoma reduced progressively. After 6 months, 12 months and 24 months, the volume of myoma decreased by 74.6%, 78.8% and 81.5%, respectively, while the uterine volume decreased by 48.7% 51.9% and 53.1% respectively; 88.7% (102/115) of the patients returned to normal after menstruation, all the anemia was corrected; 50.9% (26/51) of the original dysmenorrhea disappeared. The total effective rate was 97.9% (188/192) and the cure rate was 64.0% (123/192). Radiofrequency ablation of submucosal fibroids the best, the effective rate was 100.0% (67/67), the cure rate was 85.1% (57/67). Fibroids size, type of growth and rate of degeneration is the main factor affecting the efficacy. Conclusion Radiofrequency ablation destroys myoma tissue, significantly reduces the tumor and uterus, and significantly improves the clinical symptoms.