海扶刀与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的对比研究  

Comparative study of HIFU and laparoscopic myomectomy for the treatment of uterine fibroids

作　　者：利奕战 Li Yizhan(Department of Gynecology,Qinzhou First People's Hospital,Qinzhou 535000,China)

机构地区：[1]钦州市第一人民医院妇科,广西钦州535000

出　　处：《实用妇科内分泌电子杂志》2023年第34期22-24,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的评价海扶刀与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的效果及安全性。方法选取本院收治的90例子宫肌瘤患者为研究对象,根据随机数字表法分为两组,各45例。对照组接受腹腔镜下子宫肌瘤剔除术,试验组接受海扶刀治疗,比较两组的不良反应发生率、复发率、性激素水平。结果试验组不良反应发生率为2.22%,低于对照组的20.00%,差异有统计学意义(P<0.05);两组复发率比较差异无统计学意义(P>0.05);治疗后,试验组卵泡刺激素、黄体生成素、催乳素水平均高于对照组(P<0.05)。结论对子宫肌瘤患者开展海扶刀治疗,能有效降低不良反应发生率及复发率,调节性激素水平,可推广应用。Objective Evaluate the efficacy and safety of HIFU and laparoscopic myomectomy in the treatment of uterine fibroids.Methods 9o patients with uterine fibroids admitted to our hospital were selected as the research subjects,and were divided into two groups according to the random number table method,with 45 cases in each group.The control group received laparoscopic uterine fibroidectomy,while the experimental group received HIFU treatment.The incidence of adverse reactions,recurrence rate,and sex hormone levels were compared between the two groups.Results The incidence of adverse reactions in the experimental group was 2.22%,ower than the 20.00%in the control group,with a statistically significant difference(P<0.05);There was no statistically significant difference in the recurrence rate between the two groups(P>0.05);After treatment,the levels of follicle stimulating hormone,luteinizing hormone,and prolactin in the experimental group were higher than those in the control group(P<0.05).Conclusion HIFU treatment for patients with uterine fibroids can effectively reduce the incidence and recurrence rate of adverse reactions,regulate sexual hormone levels,and can be widely applied.

关 键 词：子宫肌瘤 海扶刀 腹腔镜下子宫肌瘤剔除术 不良反应 性激素 

分 类 号：R737.33[医药卫生—肿瘤]