超声引导下自凝刀射频治疗子宫肌瘤58例分析

Clinical Efficacy of Ultra Sonography Guided Radiofrequency Therapy on 58 Uterine Leiomyoma

目的：探讨自凝刀射频治疗子宫肌瘤的临床价值。方法：2004年2月～2005年6月选择自愿接受自凝刀射频治疗子宫肌瘤的患者58例，肌瘤68个，瘤体直径1．5～5．5cm，在B超监视和引导下将自凝刀经阴道宫颈置入肌瘤进行射频治疗。结果：治疗后随访3个月58例、6个月50例（59个肌瘤），治疗有效率、治愈率分别为100％（58／58）、51．72％（30／58）。结论：自凝刀射频治疗子宫肌瘤是1种能保留子宫的微创技术，可重复治疗，疗效确切，操作简单，易推广应用。

Objective： To evaluate the clinical efficacy of treatment uterine leiomyoma using radiofrequency ablation. Methods： From February 2004 to June 2005, 58 patients, of uterine leiomyoma were treated using radiofrequency ablation under B ultrasonic scouting; the diameter of uterine leiomyoma was 1.5 -5.5 cm. Results： The 58 patients were callback after the operation 346 months, the curative effect rate was 100 % , including cure rate 51.72%. Conclusion： The radiofrequency ablation is a simple, safe , effective and economic technique with tiny hurt and remains the functions of uterine on the therapy of uterine leiomyoma.