简易举宫器用于超声引导下经腹射频消融治疗子宫后壁肌瘤  

Simple uterine manipulator applicated in ultrasound-guided transabdominal radiofrequency ablation of posterior wall uterine fibroids

作　　者：李庆 周兴伟 韩增辉 陈姗姗 王建伟 张华 李雅婧 周晓东 LI Qing;ZHOU Xingwei;HAN Zenghui;CHEN Shanshan;WANG Jianwei;ZHANG Hua;LI Yajing;ZHOU Xiaodong(Ultrasonic Diagonosis and Treatment Center,Xi'an International Medical Center Hospital,Xi'an 710000,China;Department of Ultrasound,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China)

机构地区：[1]西安国际医疗中心医院超声诊疗中心,陕西西安710000 [2]安康市中医医院超声科,陕西安康725000

出　　处：《中国介入影像与治疗学》2022年第11期693-696,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察简易举宫器用于超声引导下经腹射频消融治疗子宫后壁肌瘤的价值。方法纳入28例经盆腔超声和MRI诊断的单发子宫后壁肌瘤患者,其中13例接受简易举宫器辅助下超声引导下经腹射频消融治疗(观察组),8例接受无辅助、7例接受其他方法辅助超声引导下经腹射频消融治疗(对照组);对比组间年龄、子宫肌瘤均径、消融期间肌瘤边缘清晰与否、消融时间、一次性完全消融率及子宫内膜损伤的差异。结果消融治疗中,组间肌瘤边缘清晰与否、消融治疗时间及子宫内膜损伤差异均有统计学意义(P均<0.05),年龄、子宫肌瘤均径及一次性完全消融率差异均无统计学意义(P均>0.05)。结论简易举宫器可有效推举、固定子宫,有利于超声引导下射频消融治疗子宫后壁肌瘤。Objective To observe the value of simple uterine manipulator applicated in ultrasound-guided transabdominal radiofrequency ablation of posterior wall uterine fibroids.Methods Twenty-eight patients with single posterior wall uterine fibroid diagnosed with pelvic ultrasound and MRI were enrolled,including 13 cases underwent simple uterine manipulator assisted ultrasound-guided transabdominal radiofrequency ablation(observation group),8 underwent ultrasound-guided transabdominal radiofrequency ablation without and 7 with other auxiliary methods(control group).The age,average diameter of uterine fibroids,fibroid margin clear or not during ablation,ablation time,the rate of one-time complete ablation and endometrial injury or not were compared between groups.Results There were significant differences of fibroid margin clear or not during ablation,ablation time and endometrial injury between groups(all P<0.05),while there was no significant difference of age,average diameter of uterine fibroids nor rate of one-time complete ablation(all P>0.05).Conclusion Simple uterine manipulator could effectively lift and fix the uterus,hence being helpful to ultrasound-guided transabdominal radiofrequency ablation of posterior wall uterine fibroids.

关 键 词：子宫肿瘤 射频消融 超声检查 举宫器 

分 类 号：R737.33[医药卫生—肿瘤] R815[医药卫生—临床医学]