腹壁子宫内膜异位病灶开腹手术与超声导向微波消融治疗效果比较  

Efficacy of the laparotomy and the ultrasound-guided microwave ablation for treating the abdominal wall endometriosis

作　　者：姚舒婷 朱林芳 YAO Shuting;ZHU Linfang(The Third People's Hospital of Longgang District,Shenzhen,GuangdongProvince,518000)

机构地区：[1]深圳市龙岗区第三人民医院,518000

出　　处：《中国计划生育学杂志》2025年第2期366-370,共5页Chinese Journal of Family Planning

基　　金：深圳市龙岗区科技创新专项基金(LGWJ2023-115)。

摘　　要：目的:探讨超声导向微波消融和开腹手术切除治疗腹壁子宫内膜异位症(AWE)的临床效果。方法:回顾性分析2013年1月-2023年12月本院治疗的70例AWE的临床资料,按照治疗方式分为超声导向微波消融组(n=32)和开腹手术组(n=38),比较两组临床疗效、手术指标、痛经疼痛度和并发症发生情况等。结果:开腹手术组与超声导向微波消融组患者的总有效率无统计学差异(86.84%比90.63%,χ^(2)=0.246,P>0.05);超声导向微波消融组患者的手术时间、切口大小、住院时间、术中出血均低于开腹手术组(t=6.982、18.520、11.971、7.136,P<0.05);超声导向微波消融组术后1、3、6月VAS评分均低于开腹手术组(t=4.171、4.241、3.554,P<0.05);超声导向微波消融组术后1、3、6月病灶体积均小于开腹手术组(t=4.287、9.718、11.306,P<0.05);超声导向微波消融组术后并发症发生率低于开腹手术组(2.63%比18.41%,χ^(2)=4.015,P<0.05)。结论:开腹手术与超声导向微波消融治疗AWE患者的临床疗效相当,但超声导向微波消融在减轻术后疼痛、缩短手术时间以及加速康复时间等方面优于开腹手术。Objective: To explore the efficacy of ultrasound-guided microwave ablation and the laparotomy for treating the abdominal wall endometriosis(AWE). Methods: The clinical data of 70 patients with AWE treated in the hospital from January 2013 to December 2023 were analyzed retrospectively. According to the treatment methods, these patients were divided into the two groups, including 32 patients with the treatment of the ultrasonic guided microwave ablation in group A and 38 patients with the treatment of the laparotomy in group B. The clinical efficacy, the surgical indexes values, the dysmenorrhea degree and the complications rate of the patients were compared between the two groups. Results: There was no significant difference in THE total effective rate(86.84% vs. 90.63%) of the patients between the two groups(χ^(2)=0.246, P>0.05). The operation time, the incision size, the hospitalization time and the intraoperative blood loss of the patients in group A were significantly lower than those of the patients in group B(t=6.982, 18.520, 11.971, 7.136, P<0.05). The VAS scores of the patients in group A in 1, 3 and 6 months after operation were significantly lower than those of the patients group B(t=4.171, 4.241, 3.554, P<0.05). The lesion volume of the patients in group A in 1, 3 and 6 months after operation was smaller than that of the patients in group B(t=4.287, 9.718, 11.306, P<0.05). The incidence of postoperative complications(2.63%) of the patients in group A was significantly lower than that(18.41%) of the patients in group B(χ^(2)=4.015, P<0.05). Conclusion: The laparotomy and the ultrasound-guided microwave ablation for treating the patients with AWE have the same effect, but the ultrasound-guided microwave ablation is superior to the laparotomy in reducing the postoperative pain, shortening the operation time and accelerating the recovery time,so the ultrasound-guided microwave ablation can be a safer and more effective treatment for the patients with AWE.

关 键 词：腹壁子宫内膜异位症 超声导向微波消融 开腹手术 临床疗效 手术指标 

分 类 号：R713.4[医药卫生—妇产科学]