子宫肌瘤射频治疗和经典手术治疗临床分析

Clinical analysis on the effects of radiofrequency ablation and abdominal hysterectomy on hysteromyoma

目的探讨射频消融与经典手术治疗子宫肌瘤的临床效果。方法 1501例患者分别按治疗适应证分为2组,射频组731例采用射频治疗,经腹组770例采用经腹手术治疗。结果射频组治疗有效率为94.3%,治疗时间短,恢复快,并发症少。经腹手术组治疗有效率为97.5%(肌瘤大于8 cm以上或浆膜下肌瘤可以采用此方法),需住院,恢复慢,并发症多,治疗费用高。结论射频治疗是一种保留子宫的好方法,方法简单、安全,但应根据患者情况采用不同的治疗方法。

Objective To investigate the clinical effects of radiofrequency ablation （RFA）and abdominal hysterectomy on hysteromyoma. Methods A total of 1501 cases of hysteromyoma were divided into 2 groups. One group （731 eases） was treated with RFA and the other group （770 cases） was treated with abdominal hysterectomy. Results Effective rate of the RFA group was 94.3%, with less treatment time, faster recovery and lower rate of complication, while the effective rate of the other group （diameter of the tumour ≥8 cm） was 97.5%, with slower recovery, higher rate of complication and higher fee for hospitalization treatment. Conclusion RFA was a good approach for the treatment of hysteromyoma, having the features of simple manipulation and safety. However, different treatment methods should be applied to cope with different conditions of patients.