射频消融治疗子宫良性病变191例护理体会

Nursing care of radiofrequency ablation in treatment of 191 patients with uterine benign lesion

目的探讨射频热凝固治疗子宫良性病变的疗效及护理方法。方法在B超检查监测下，应用凝固器，将射频定点介入到子宫病灶内，利用射频热凝固器直接接触病变部位使局部温度达55℃～85℃，使病变组织坏死、脱落，治疗各类直径小于5．0cm的子宫肌瘤35例、子宫腺肌痛和子宫腺肌病33例、功能失调性子宫出血（功血）45例、子宫颈糜烂78例。结果子宫肌瘤有效率100％，治愈率96．5％；功血有效率100％，治愈率98％；子宫腺肌瘤、腺肌病有效率96％，治愈率78％；子宫颈糜烂治愈率100％。结论射频热凝固治疗子宫良性病变是一种操作简单、易掌握且不宜损伤正常组织的有效方法。热凝同器不易损伤正常组织。

Objective To investigate the curative effect and nursing care of radiofrqeuency ablation for the treatment of uterine benign lesion. Methods Guided by B type-B ultrasonic monitoring, using coagulator, radio frequency was performed with fixed-point in uterine lesion, the local temperature, obtained by direct contact with coagnlator in lesion ,was up to 55℃ -85℃ ,which resulted in necrosis, ablation of lesion tissues. It was in the treatment of 35 cases of hysteromyorna with diameter 〈 5.0 cm, 33 cases of endometrioma and adenomyosis,45 case of dysfunctional uterine bleeding and 78 cases of cervical erosion. Results The effective and curative rate of hysteromyoma was 100 % and 96.5 % respectively; The effective and curative rate of dysfunctional uterine bleeding was 100% and 98% respectively; The effective and curative rate of endometrioma and adenomyosis was 96 % and 78 % respectively; The curative rate of cervical erosion wes 100 %. Conclusion Radiofrequency thermocoagulation for the treatment of uterine benign lesion is an easy handling procedure , and is effective for uterine benign lesion. The coagulator can＇t easily damage the normal tissues.