首页|高强度聚焦超声联合米非司酮治疗子宫肌瘤的效果分析

高强度聚焦超声联合米非司酮治疗子宫肌瘤的效果分析

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目的 探讨子宫肌瘤采用高强度聚焦超声联合米非司酮的治疗效果.方法 选取70例子宫肌瘤患者为研究对象,根据随机数字表法分为对照组和研究组,每组35例.对照组给予米非司酮治疗,研究组在对照组基础上给予高强度聚焦超声治疗,比较两组治疗效果.结果 治疗后,研究组总有效率高于对照组(P<0.05);治疗前,两组子宫肌瘤体积、子宫体积比较,差异均无统计学意义(P>0.05);治疗后,研究组子宫肌瘤体积、子宫体积均低于对照组(P<0.05);治疗前,两组雌激素、雌二醇、血管内皮生长因子水平比较,差异均无统计学意义(P>0.05);治疗后,研究组雌激素、雌二醇、血管内皮生长因子水平均低于对照组(P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05).结论 子宫肌瘤采用米非司酮联合高强度聚焦超声治疗效果较好,可以改善患者性激素水平,缩小肌瘤体积,治疗安全性高,值得临床推广与应用.
Effect analysis of high-intensity focused ultrasound combined with mifepristone in the treatment of uterine fibroids
Objective To investigate the effect of high-intensity focused ultrasound combined with mifepristone in the treatment of uterine fibroids.Methods A total of 70 patients with uterine fibroids were selected and divided into control group and study group according to random number table method,with 35 cases in each group.The control group was treated with mifepristone,and the study group was treated with high-intensity focused ultrasound based on the control group.The therapeutic effect of the two groups was compared.Results After treatment,the total effective rate of the study group was higher than that of the control group(P<0.05).Before treatment,there was no significant difference in uterine fibroid volume and uterine volume between the two groups(P>0.05).After treatment,the myoma volume and uterine volume of the study group were lower than those of the control group(P<0.05).Before treatment,there were no significant differences in the levels of estrogen,estradiol and vascular endothelial growth factor between the two groups(P>0.05).After treatment,the levels of estrogen,estradiol and vascular endothelial growth factor in study group were lower than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Mifepristone combined with high-intensity focused ultrasound is effective in the treatment of uterine fibroids,which can improve the level of sex hormones in patients and reduce the size of fibroids.It is safe and worthy of clinical promotion and application.

Uterine fibroidsHigh intensity focused ultrasoundMifepristoneTherapeutic effect

冯雪梅

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新疆阿克苏地区妇幼保健院 妇女保健部,新疆 阿克苏 842000

子宫肌瘤 高强度聚焦超声 米非司酮 治疗效果

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(10)
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