摘要
目的 分析超声引导下腹腔镜下微波消融治疗子宫腺肌瘤合并不孕症的效果。方法 回顾性分析2019年5月至2021年5月在本院接受治疗的30例子宫腺肌瘤合并不孕症患者临床资料,所选患者均接受超声引导腹腔镜下微波消融治疗,观察治疗效果。结果 相较于治疗前,治疗后子宫体积、病灶体积、CA125及CA199数值均有所降低,差异有统计学意义(P<0.05);相较于治疗前VAS评分,治疗后明显有所降低,差异有统计学意义(P<0.05);治疗前后患者月经周期及经期之间对比,差异无统计学意义(P>0.05);治疗后月经量明显少于治疗前,差异有统计学意义(P<0.05);相较于治疗前,治疗后患者Hb数值明显更高,差异有统计学意义(P<0.05);治疗后雌二醇、FSH以及LH数值均低于治疗前,差异有统计学意义(P<0.05)。结论 超声引导腹腔镜下微波消融治疗子宫腺肌瘤合并不孕症患者,效果显著,为保留患者子宫并帮助其解决痛苦的一项微创技术,更加安全且具有一定实时性,可将其作为治疗子宫腺肌瘤的途径之一。
Objective To analyze the effect of ultrasound-guided laparoscopic microwave ablation on uterine adenomyoma combined with infertility.Methods The clinical data of 30 cases of uterine fibroids with infertility treated in our hospital from May 2019 to May 2019 to May 2021 were retrospectively analyzed. All the selected patients received ultrasound-guided laparoscopic microwave ablation to observe the treatment effect.Results Uterine volume, lesion volume, CA125 and CA199 were decreased(P < 0.05), menstrual cycles and period(P > 0.05), significantly less than before treatment(P < 0.05), Hb(P < 0.05);estradiol, FSH and LH lower than before treatment(P < 0.05).Conclusion Ultrasound-guided laparoscopic microwave ablation to treat patients with adenomyoma with infertility has a remarkable effect. A minimally invasive technique to preserve the uterus and help them solve the pain, it is safer and real-time, and can be used as one of the ways to treat adenomyoma.
作者
陈钟玉
井水
孙艳艳
张丽娜
王丽
Chen Zhongyu;Jing Shui;Sun Yanyan;Zhang Lina;Wang Li(Gynecology,Suzhou Hospital Affiliated to Anhui Medical University,Suzhou 234000,China)
出处
《实用妇科内分泌电子杂志》
2021年第17期70-72,共3页
Electronic Journal of Practical Gynecological Endocrinology
基金
宿州市科技攻关计划项目申报书(2020年度)
宿州市科技计划项目(微波消融应用于子宫腺肌瘤合并不孕症的前瞻性研究)。
