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目的:分析超声引导下自凝刀射频治疗子宫肌瘤的临床疗效。方法:回顾性分析2009年3月~2010年2月采用自凝刀手术治疗的46例子宫肌瘤患者的资料。结果:46例患者术中、术后均无手术并发症发生。肌瘤合并月经量增多36例,治愈33例,治愈率91.67%;术后1、3、6个月子宫体积平均缩小率分别为l0.39%、42.53%、52.13%,肌瘤体积平均缩小率分别为38.37%、59.38%,68.34%;术后3、6个月子宫体积缩小率与治疗前比较差异均有统计学意义(P<0.05);术后1、3、6个月子宫肌瘤体积缩小率与治疗前比较差异均有统计学意义(P<0.05)。结论:超声引导下自凝刀射频治疗子宫肌瘤是一种能保留子宫的微创技术,疗效确切、损伤小、方便、费用低,值得临床推广应用。
Objective: To analyze the clinical effect of ultrasound guided self-coagulation knife radiofrequency treatment of uterine fibroids. Methods: The data of 46 patients with uterine fibroids treated with self-coagulation knife from March 2009 to February 2010 were retrospectively analyzed. Results: There were no operative complications in 46 patients during and after operation. The fibroids combined with menstruation increased 36 cases, 33 cases were cured, the cure rate was 91.67%. The average shrinkage rates of the uterus at 1, 3 and 6 months after operation were l0.39%, 42.53% and 52.13% The rates of uterine volume reduction at 3 and 6 months after operation were significantly different from those before treatment (P <0.05). The rates of uterine muscle at 1, 3, and 6 months after operation Tumor volume reduction rate compared with before treatment were statistically significant (P <0.05). Conclusion: Radiofrequency-guided self-coagulation knife radiofrequency treatment of uterine fibroids is a minimally invasive technique that can preserve the uterus. The curative effect is exact, the damage is small, convenient and the cost is low. It is worthy of clinical application.