摘要
目的探讨海扶刀治疗子宫肌瘤的临床效果。方法随机选取2012年11月至2013年11月间收治的子宫肌瘤患者200例,采用海扶刀治疗,分析患者治疗前后激素水平和肿瘤体积变化及不良反应。结果患者出现下腹疼痛、皮肤水疱、感染等不良反应,其中下腹疼痛发生率最高,为43.0%。治疗前后患者激素水平差异不大,差异无统计学意义(P>0.05)。术后3个月、6个月、1年,病灶瘤体体积较治疗前均显著缩小,差异有统计学意义(P<0.05)。随访1年,171例患者瘤体体积缩小明显,26例患者肌瘤缩小程度不明显,3例复发,再次接受海扶刀治疗。结论海扶刀治疗子宫肌瘤安全、无创,疗效确切,不影响女性生育功能,值得临床推广。
Objective To explore the clinical effect of HIFU on uterine fibroids. Methods 200 patients with uterine fibroids were randomly selected hospitalized from September 2011 to September 2012 and treated with HIFU. Hormone levels, tumor volume changes and adverse reactions were analyzed before and after treatment. Results The incidence rate of lower abdominal, pain（43.0% ） was highest among ad- verse reactions such as blisters and skin infection. There was no obvious change at hormone levels before and after the treatment （ P 〉 0.05 ）. Compared with the lesions before treatment, tumor volume in 3 months, 6 months and 1 year after operation were significantly reduced （ P 〈 0. 05 ）. After one year＇s follow-up, most symptoms were significantly relieved, but some tumor shrinkages of patients was not obvious. 3 patients with recurrence received HIFU again. Conclusion To treat uterine fibroids with HIFU is effective, safe and noninvasive,which does not affect fertility of the female, and is worthy of the clinical promotion.
出处
《中国肿瘤临床与康复》
2014年第7期852-854,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
海扶刀
子宫肌瘤
激素
不良反应
HIFU
Uterine fibroids
Hormone
Adverse reaction
