超声引导下自凝刀射频治疗粘膜下子宫肌瘤临床分析  

Clinical Analysis of Ultrasound - guided Self - clotting Cutter Radiofrequency in the Treatment of Submu- cous Myoma

作　　者：张莉[1] 王倩[1] 葛晖[1] 

机构地区：[1]蚌埠市第三人民医院妇产科,安徽蚌埠233000

出　　处：《解剖与临床》2012年第3期232-235,共4页Anatomy and Clinics

摘　　要：目的：探讨超声引导下自凝刀射频技术治疗粘膜下子宫肌瘤的临床价值。方法：回顾性分析自2007年8月～2011年4月收治的34例粘膜下子宫肌瘤患者，在B超实时动态监测下，以射频为治疗源，行自凝刀射频切除术的临床资料。21例为有明显瘤蒂者，肌瘤大小为（36．1±14．2）cm3，13例无明显瘤蒂者，肌瘤大小为（41．6±12．4）cm3。结果：本组手术顺利，无严重并发症发生。随访6个月～3a，21例带蒂者肌瘤被完整切除，无复发；13例无明显瘤蒂者，术后6个月肌瘤缩小为（11．9±5．1）cm3，治疗前后行统计学处理，差异有统计学意义（P〈0．05）。本组治愈33例，好转1例，治愈率97．1％。结论：超声引导下射频治疗粘膜下子宫肌瘤是一项安全、经济、痛苦小的微创介入治疗新技术。Objective： To explore the clinical value of ultrasound - guided self - clotting cutter radiofrequency in the treatment of submucous myoma. Methods ： Clinical data of 34 cases who were cured from Aug. 2007 to April 2011 were analyzed retrospectively. Among them, self - clotting cutter was used to cut hysteromyoma through radiofrequency, guided by Bultrasound. 21 cases with pedicles, the hysteromyoma was （36.1± 14.2）cm3 in volume and the rest 13 had no obvious pedicles, it was （41.6 ±12.4） cm3. Results： The operation was performed successful- ly. There were no severe complications after the follow - up visit of six months to three years. 21 Hysteromyoma with pedicles were cut completely with no recurrence. Among the 13 cases who had no obvious pedieles, the hysteromyoma contracted to （ 11.9± 5.1 ） cm3 6 months later. There was significant difference through the statistical treatment before and after treatment（ P 〈0.05）. 33 cases were healed, one improved. The total cure rate was 97.1%. Conclusions：RF therapy for submucous hysteromyoma with US guidance as a new interventional technique is safe, economical and less - suffering, which is valuable for wide application.

关 键 词：超声引导 自凝刀 射频 粘膜下子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤] R545.3[医药卫生—临床医学]