Efficacy of high-intensity focused ultrasound ablation by ultrasound-guided for treating patients with uterine myomas and the postoperative quality of life of the patients
Objective:To explore the clinical efficacy of high-intensity focused ultrasound(HIFU)ablation by ultra-sound-guided and laparoscopic myomectomy(LM)for treating patients with uterine myomas of,and to analyze the postoperative quality of life of the patients.Methods:100 patients with uterine myoma who had fertility needs from January 2021-January 2022 were collected.According to the different methods of surgery,the patients were given treatment of laparoscopic myomectomy in group A and the patients were given treatment of HIFU ablation by ultra-sound guided in group B.The curative effect,the perioperative index,the postoperative adverse reactions,the quality of life in 6 months after surgery and the situations of fibroids residue and recurrence of the patients were compared be-tween the two groups.Results:The total effective rate(100.0％)of the patients in group B was significantly higher than that(92.0％)of the patients in group A.The operation time(55.8±12.8min),the hospital stay(1.7±0.8d)and the time to complete recovery(4.9±2.2d)of the patients in the group B were significantly shorter than those(80.4± 12.3min,2.8±0.9d and 7.3±0.6d)of the patients in group A,and the intraoperative blood loss(0)of the patients in the group B was significantly less than that(127.6±22.2ml)of the patients in group A.The incidence of lower abdomi-nal pain(24.0％)of the patients in the group B was significantly lower than that(44.0％)of the patients in group A(all P＜0.05).There were no significant differences in the residual rate of myoma in 3 months after surgery(2.0％vs.4.0％)and the recurrence rate in 6 months after surgery(0 vs.2.0％)of the patients between the two groups(P＞0.05).In the 6th month after surgery,the UFS-QOL score and SF-36 scale score of the patients in the group B were significantly better than those of the patients in group A.The menstrual volume score(92.81±26.79 points)and the in-cidence of menorrhagia(6.0％)of the patients in the group B were significantly lower than those(114.65±28.61 points and 22.0％)of the patients in group A(all P＜0.05).Conclusion:The HIFU ablation by transvaginal ultrasound-guided for treating the patients with uterine myomas had better efficacy and safety compared to those of the conven-tional laparoscopic myomectomy,and the postoperative quality of life of the patients is higher,which is worth popular-izing for the patients with uterine myomas who have fertility needs.
Laparoscopy uterine myomectomyUltrasound-guided high-intensity focused ultrasoundClinical efficacyQuality of lifeRecurrence after surgeryResidual myoma
万方数据
维普
