摘要
目的比较腹腔镜下子宫肌瘤剔除术(LM)与高强度聚焦超声(HIFU)治疗子宫肌瘤的临床疗效。方法按照手术方式将95例子宫肌瘤患者分为观察组(HIFU)45例和对照组(LM)50例,观察组行HIFU治疗,对照组患者行LM治疗,比较两组手术效果。结果观察组患者手术时间、术中出血量、住院时间、术后恢复正常生活时间均显著优于对照组,手术费用显著高于对照组,差异有统计学意义(P<0.05);两组患者术后并发症发生率和复发率比较,差异无统计学意义(P>0.05);观察组患者术后3个月月经异常和腰痛改善率显著低于对照组,差异有统计学意义(P<0.05);两组患者术后6个月各临床症状改善率对比,差异无统计学意义(P>0.05)。结论 HIFU治疗子宫肌瘤临床效果确切,具有无创、术后恢复快等优点,但临床症状改善较为缓慢,治疗花费也较高,需根据实际情况进行选择。
Objective To compare the clinical effect of laparoscropic myomectomy （LM） or high-intensity focused uhra- sound （HIFU） for uterine fibroid. Methods 95 cases of patients with uterine fibroid were divided into the observation group （ HIFU ,45 cases） and the control group（ LM ,50 cases）. The observation group were treated by HIFU. The control group were treated by LM. The clinical effect were observed. Results The level of operation time, bleeding volume, hospital stays and time back to normal life of the observation group were lower than the control group （ P 〈 0.05 ） ; The operation cost of the observation group were higher than the control group（ P 〈 0.05 ） ;There were no significant difference in the rate of complication and relapse between the 2 groups （ P 〉 0.05 ） ; The rate of menstruation disorder and lumbago improved 3 months postoperation of the observation group were lower than the control group （ P 〈 0.05 ） ; There were no significant difference in the rate of every clinical symptoms improved 6 months postoperative between the 2 groups （ P 〉 0.05 ）. Conclusion It has exact therapeutic effect for the patients with uterine fibroid by HIFU. The advantage are noninvasive and short recovery time. But it needs long time to improve the clinical symptoms. The operation cost is high. It needs according to the actual situation to choose.
出处
《实用癌症杂志》
2017年第7期1186-1188,共3页
The Practical Journal of Cancer
关键词
子宫肌瘤
腹腔镜下子宫肌瘤剔除术
高强度聚焦超声
Uterine fibroid
Laparoscropic myomectomy（LM）
High-intensity focused uhrasound（HIFU）
