射频热凝固治疗未孕妇女子宫良性疾病的临床研究  

Treatment of Nulliparous Women with Begnign Uterine Diseases using Minimally Invasive Radio Frequency Heat Coagulation

作　　者：尹格平[1] 陈铭[1] 朱彤宇[1] 杨树君[1] 李娟[1] 赵晓利[1] 王玉芝[1] 

机构地区：[1]济南军区总医院妇产科,济南250031

出　　处：《解放军医药杂志》2012年第3期4-7,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨射频热凝固治疗未孕妇女子宫肌瘤、肌腺瘤、子宫腺肌病和宫颈柱状上皮异位等疾病的效果和对患者生育能力的影响。方法应用射频热凝固器,定点穿刺或介入到子宫和宫颈病灶内,使病变组织热凝固坏死吸收。治疗未孕妇女子宫肌瘤34例、腺肌瘤22例、子宫腺肌病16例、子宫内膜息肉21例和宫颈柱状上皮移位533例。结果本方法治疗有效率:子宫肌瘤为94.1%,腺肌瘤为90.9%,子宫腺肌病为87.5%,子宫内膜息肉为100.0%,中、重度宫颈柱状上皮异位为100.0%。治疗后6个月正常妊娠率分别为:子宫肌瘤79.4%,腺肌瘤82.0%,子宫腺肌病56.3%。结论射频热凝固疗法在治愈指征内子宫良性疾病的同时,对妊娠无不良影响。Objective To investigate the efficacty of radio frequency（RFHC） and its effects on fertility in nulliparous women with uterine benign diseases such as leiomyoma,adenomyoma,adenomyosis,endometrial polyp and cervical columnar ectopy（CCE） Ⅱ,Ⅲ degree.Methods Patients with uterine leiomyoma（34）,adenomyoma（22）,adenomyosis（16）,endometrial polyp（21）,Ⅱ degree（382） and Ⅲ degree（151） of CCE,were treated by a special heat coagulator with local temperature.Then the pathologic endometrium,leiomyoma or adenomyoma tissues were heat coagulated.Results The efficacy of RFHC was 94.1% in leiomyoma of uterus,90.9% in adenomyoma,87.5% in adenomyosis,100.0% in endometrial polyp and 100% in CCE.After the treatment,the pregnance rate was 79.4%,82.0% and 56.3% for leiomyoma,adenomyoma and adenomyosis,respectively.Conclusion RFHC is a simple,safe,fast,effective and repeatable method to nulliparous women with benign uterine diseases and it is not harmful to fertility.

关 键 词：平滑肌瘤 子宫 腺肌瘤 子宫 子宫肌腺病 息肉 子宫内膜 宫颈柱状上皮异位 射频热凝固 

分 类 号：R711.74[医药卫生—妇产科学]