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目的探讨超声引导下射频消融术治疗子宫黏膜下肌瘤的疗效。方法选择2005年1月~2011年1月在我院经临床和超声检查确诊为子宫黏膜下肌瘤120例,将其随机分为超声引导下射频消融术组(观察组)和宫腔镜电切术组(对照组)各60例,观察比较两组手术时间、术中出血量、住院天数、治疗效果和肌瘤转归等情况。结果手术时间、术中出血量、住院天数观察组优于对照组(t=23.459~31.547,P<0.01)。治疗效果和肌瘤转归情况,两组比较,0型、I型黏膜下肌瘤差异无统计学意义(t=6.357,P>0.05),II型黏膜下肌瘤差异有统计学意义(t=15.431,P<0.01)。结论超声引导下射频消融术治疗子宫黏膜下肌瘤优于宫腔镜电切术,具有手术时间短、术中出血少、无需住院等优点,并且设备简单,易于掌握。
Objective To investigate the effect of ultrasound-guided radiofrequency catheter ablation on uterine submucosal fibroids. Methods From January 2005 to January 2011 in our hospital by clinical and ultrasound examination of 120 cases of uterine submucosal fibroids, were randomly divided into ultrasound-guided radiofrequency ablation (observation group) and hysteroscopy 60 cases in each group were divided into two groups: operation time, intraoperative blood loss, hospitalization days, treatment effect and fibroid metastasis. Results The operation time, intraoperative blood loss and hospital stay were better in the observation group than in the control group (t = 23.459 ~ 31.547, P <0.01). (T = 6.357, P> 0.05). There was significant difference in type II submucosal fibroids (t = 6.357, P> 0.05). The difference between the two groups was statistically significant (t = 15.431, P <0.01). Conclusion Ultrasound-guided radiofrequency ablation is superior to hysteroscopic resection for the treatment of uterine submucosal fibroids. It has the advantages of short operation time, less intraoperative bleeding and no hospitalization, and is simple in equipment and easy to master.