摘要
目的:探讨海扶刀对子宫肌瘤患者治疗效果及妊娠结局的影响。方法:选取2017年1-12月本科收治的102例妇科子宫肌瘤患者作为研究对象。按随机数字表法分为试验组(n=51)和对照组(n=51),对照组经腹腔镜行子宫肌瘤剔除术治疗,试验组采用高强度聚焦超声消融(海扶刀)治疗。对两组术中出血量、手术时间、下床活动时间、住院时间、治疗效果以及妊娠结局进行比较分析。结果:试验组术中出血量、下床活动时间、住院时间和术后平均妊娠时间均明显少于对照组(P<0.05),两组手术时间比较差异无统计学意义(P>0.05);试验组治疗总有效率、术后妊娠率和成功抱婴率与对照组比较,差异均无统计学意义(P>0.05)。结论:子宫肌瘤患者应用海扶刀治疗,能明显减少术中出血量,缩短下床活动时间、住院时间及平均妊娠时间,对妊娠结局产生积极的意义。
Objective:To investigate the effect of HIFU on treatment effect and pregnancy outcome in patients with uterine myoma.Method:From January to December 2017,102 patients with gynecological uterine myoma were selected as the subjects.According to the random digital table method,they were divided into the experimental group (n=51) and the control group (n=51).The control group was treated with laparoscopic myomectomy,and the experimental group was treated with high intensity focused ultrasound ablation (HIFU).The amount of intraoperative bleeding,operation time,the activity time of getting out of bed,hospitalization time,the effect of treatment and the outcome of pregnancy were compared and analyzed between two groups.Result:The amount of intraoperative bleeding,the time of getting out of bed,the time of hospitalization and the average time of pregnancy after operation in the experimental group were significantly shorter than those in the control group (P<0.05),but there was no significant difference in operation time between two groups (P>0.05).The total effective rate,postoperative pregnancy rate and successful baby holding rate in the experimental group compared with the control group,there were no significant differences between two groups (P>0.05).Conclusion:The method for treating uterine myoma can obviously reduce the intraoperative blood loss,shorten the operation time of the lower bed,the hospital stay time and the average pregnancy time after the operation,and have a positive effect on the pregnancy outcome of the patient.
作者
邓少君
林元媚
彭慧柳
DENG Shaojun;LIN Yuanmei;PENG Huiliu(Dongguan Kanghua Hospital,Dongguan 523000,China)
出处
《中国医学创新》
CAS
2020年第3期114-117,共4页
Medical Innovation of China
基金
东莞市医疗卫生一般项目(2019年)(201950715059129)。
