摘要
目的 探讨热凝固射频微创治疗未孕妇女子宫肌瘤、腺肌瘤和子宫肌腺病等子宫良性疾病的疗效和对生育能力的影响。方法 应用热凝固器,将射频定点介入到子宫病灶内,使病变组织热凝固坏死吸收,治疗未孕妇女所患直径小于4.0cm的子宫肌壁间肌瘤22例、腺肌瘤14例、子宫肌腺病16例和三度子宫颈糜烂53例。结果 经B超诊断,本组子宫肌瘤平均直径3.5cm、腺肌瘤3.9cm、子宫肌腺病范围直径在4.4cm之内,以35～45wt的射频治疗120-300s,2-3月后病灶直径不同程度的缩小,痛经明显减轻或消失。随访18个月,本方法——热凝固器射频治疗未孕妇女子宫肌瘤总有效率(治愈率、明显有效和有效率的总和)为90.8％,腺肌瘤有效率为92.9％,子宫肌腺病为87.5％,中、重度宫颈糜烂为100.0％。其中6个月后的正常妊娠率分别是:子宫肌瘤81.2％,腺肌瘤64.3％,肌腺病为56.3％,宫颈糜烂为94.3％。结论 热凝固器射频微创治疗未孕妇女子宫肌瘤、腺肌瘤和子宫肌腺病等子宫良性疾病是一种良好的微创治疗方法,本组显示该方法对妊娠率无明显不良影响,相反经该方法治疗后,子宫肌腺病的妊娠率较治疗前明显上升(P<0.05)。与其它非手术方法比较具有治疗时间短,见效快、疗效高、住院时间短和费用低等特点,值得进一步探索。
Objective: To investigate the curative effect and characteristic of the treatment method to uterine benign diseases by radiofreuency minimally invasive treatment (RMIT) . Methods :Two hundred and twenty- two patients with leiomyoma of uterus and 104 ones with adenomyo-ma of uterus,51 of dysfunctional uterine bleeding,60Ⅱ degree and 53Ⅲ of cervical erosion,were treated by a special heat - coagulator with a power level of 35 - 45wt for 2 - 11 min. were inserted into the uterine cavity, which monitored by B ultrasonic, which raised the local temperature to approximately 60 - 80℃ . Then the pathologic endometriun, leiomyoma or adenomyoma tissues were heat - coagulated. Results: The largest diameter of the leiomyoma and adenomyoma in thes group were limited less than 5. 0cm. The average diameter of the leiomyomas and adenomyomas were separately 4.1 cm and 3.9 cm. The curative effect rate was 94.6% in leiomyoma of uterus, 87 .5 % in adenomyoma, 94. 1% dysfunctional uterine bleeding,and 100% in cervical erosion.Conclusion:RMIT is a simple,safe,fast,effective and repeatable method to leiomyoma/adenomyoma with diameter less than 5 .0 cm, dysfunctional uterine bleeding and cervical erosion. It has a number of significant advantages over currently methods used for these kind of diseases.
出处
《中国优生与遗传杂志》
2003年第S2期34-36,共3页
Chinese Journal of Birth Health & Heredity
关键词
子宫肌瘤
子宫腺肌瘤
微创技术
射频治疗疗效
Leiomyoma of uterus uterine
Adenomyoma of uterus uterine
Minimally invasive treatment
Radiofrequency treatment
Curative effect
