射频自凝刀治疗子宫肌瘤58例临床分析  

The clinical value of radiofrequency self-coagulating knife in treating hysteromyoma

作　　者：冯仰伟[1] 

机构地区：[1]解放军88医院妇产科,泰安271000

出　　处：《中华保健医学杂志》2010年第5期367-369,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨射频自凝刀治疗子宫肌瘤的临床价值。方法 58例子宫肌瘤患者在超声引导下经阴道和子宫行射频消融治疗,观察其疗效及并发症。结果 58例患者随访3～6个月,其中治愈23例、治愈率39.7%,显效18例、显效率31.0%,有效14例、有效率24.1%,无效3例、无效率5.2%,总有效率94.8%。术中86.2%(50例)患者出现轻微下腹部疼痛,5.2%(3例)明显腹痛,给予镇痛治疗后明显缓解,3.4%(2例)出现阴道少量出血,5.2%(3例)无不适感。结论射频自凝刀治疗子宫肌瘤疗效确切,创伤小,安全性高。Objective To explore the clinical value of radiofrequency self-coagulating knife in treating hysteromyoma. Methods The radiofrequency ablation were performed on 58 patients with hysteromyoma through vaginam and uterus guided by ultrasound,and the curative effect and complication were observied. Results Fifty-eight patients were followed up for 3 to 6 months after radiofrequency ablation,the total effective rate was 94.8%,including the cure rate was 39.7%（23/58）,the excellent effective rate was 31.0%（18/58）,the effective rate was 24.1%（14/58）,and the ineffective rate was 5.2%（3/58）. Slight inferior abdominal pain was found in 50 cases （86.2%）,severe abdominal pain in 3 cases was relieved greatly after alleviating pain,and slight vaginal bleeding was found in 2 cases. Conclusions Radiofrequency self-coagulating knife for treating hysteromyoma is an effective,micro-traumatic and safe method, which is worthy of being further spreading in clinical practice.

关 键 词：子宫肌瘤 射频 自凝刀 超声 

分 类 号：R711[医药卫生—妇产科学]