首页|经皮穿刺超声引导下微波消融子宫腺肌病的疗效观察

经皮穿刺超声引导下微波消融子宫腺肌病的疗效观察

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目的:观察经皮穿刺超声引导下微波消融治疗子宫腺肌病的疗效.方法:选择37例子宫腺肌病患者,经皮穿刺超声引导下行微波消融后,通过症状改善情况及治疗前后病灶灌注区范围变化进行疗效评估.结果:37例患者,术后12个月:术前26例痛经患者,有22例痛经缓解,改善率为84.60%;术前29例经量过多患者,有26例恢复正常,改善率为89.70%;术前23例贫血患者,血红蛋白平均为(89.6±12.6)g/L,有21例恢复正常,血红蛋白平均为(118.2±12.3)g/L,改善率为91.30%(21/23).术前37例患者子宫腺肌病病灶体积(152.76±68.58)cm3,术后12个月病灶体积为(10.03±8.36)cm3,差异有显著性(P<0.05).37例患者中,疗效显著19例,有效17例,无效1例,总有效率达97.30%.结论:经皮穿刺超声引导下微波消融术治疗子宫腺肌病,能明显改善患者痛经、经量过多、贫血等,缩小病灶体积,创伤小,疗效好.
Clinical Observation of Microwave Ablation of Adenomyopathy Under the Guidance of Percutaneous Ultrasound
Objective:To observe the effect of percutaneous ultrasound-guided microwave ablation on adenomyopathy.Methods:37 cases of adenomyopathy were selected and the efficacy was evaluated by the improvement of symptoms and the change of focal perfusion area before and after treatment.Results:37 patients,12 months after surgery:26 patients before the operation of dysmenorrhea,22 cases of dysmenorrhea relief,improvement rate of 84.60%;The 29 patients with hypermenorrhagia before operation,26 cases recovered to normal,the improvement rate was 89.70%.Before operation,the average hemoglobin of 23 patients with anemia was(89.6±12.6)g/L,and 21 patients recovered to normal,the average hemoglobin was(118.2±12.3)g/L,the improvement rate was 91.30%(21/23).The lesion volume of 37 patients with adenomyosis was(152.76±68.58)cm3 before surgery and(10.03±8.36)cm3 12 months after surgery,the difference was significant(P<0.05).Among the 37 patients,19 patients had a significant therapeutic effect,17 patients were effective and 1 patient was ineffective.The total effective rate reached 97.30%.Conclusion:Percutaneous ultrasound-guided microwave ablation in the treatment of adenomyopathy can significantly improve dysmenorrhea,excessive menorrhea,anemia,etc.,reduce the size of the lesion,less trauma,and have a good effect.

adenomyopathymicrowave ablationultrasound guided

林瑞莲、黄文蓉、蔡敏娴

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龙岩市第二医院妇科 (福建 龙岩 364000)

龙岩市第二医院彩超科 (福建 龙岩 364000)

子宫腺肌病 微波消融 超声引导

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)