Feasibility and Safety of Focused Ultrasound Ablation Surgery for Uterine Fibroids under Daytime Surgical Mode
Objective:To explore the feasibility and safety of focused ultrasound ablation surgery for uterine fibroids under day-time surgical mode.Methods:Patients with uterine fiibroids admitted to our hospital from January 2020 to December 2022 were selected as the research subjects.Based on the informed consent of the patients,they were randomly divided into observation group A,observa-tion group B,and control group using a random number table method.Each group had 25 cases.The control group was treated with la-paroscopic myomectomy,while the observation group A was treated with conventional hospitalization mode focused ultrasound ablation surgery,while the observation group B was treated with daytime surgery mode.Compare the treatment effectiveness of three groups of patients for uterine fibroids,including surgical time,hospital stay,postoperative VAS score,postoperative autonomous activity time,and treatment cost.Compare the incidence of postoperative adverse reactions among the three groups of patients.Finally,conduct outpatient follow-up at 3 months after surgery for all patients,evaluate the symptoms of uterine fibroids through symptom severity(SSS)score,and measure the volume of uterine fibroids through MRI imaging examination,Evaluate the quality of life of two groups of patients using the Comprehensive Quality of Life Assessment Questionnaire 74(GQOLI-74).Results:The total effective rate of the control group was 100.00％,the observation group A was 96.00％,and the observation group B was 96.00％.There was no difference in the total effective rate among the three groups(P＞0.05);There was no difference in surgical time between the three groups of patients(P＞0.05).The hospi-talization time,postoperative VAS score,postoperative autonomous activity time,and treatment cost of observation group B and observa-tion group A were lower than those of the control group,and the hospitalization time and treatment cost of observation group B were lower than those of observation group A(P＜0.05);The incidence of postoperative adverse reactions in Group A and Group B was lower than that in the control group(P＜0.05),and there was no difference between Group A and Group B(P＞0.05);There was no difference in preoperative SSS score,uterine fibroid volume,and GQOLI-74 dimension average score among the three groups of patients(P＞0.05).After surgery,the SSS score and uterine fibroid volume of the three groups of patients decreased,while the GQOLI-74 dimension average score increased(P＜0.05).However,there was no difference between the three groups of patients(P＞0.05).Conclusion:Focused ultra-sound ablation surgery has a signifiicant therapeutic effect on uterine fibroids,and its therapeutic effect is not significantly different from laparoscopic myomectomy.However,it can reduce surgical trauma,shorten hospitalization time,and reduce postoperative pain for patients.Adopting daytime surgery mode focused ultrasound ablation surgery for uterine fibroids can further shorten patient hospitalization time,reduce surgical costs,and have high safety,There is no significant adverse effect on the prognosis of patients,and the feasibility is high.
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