超声消融技术与腹腔镜下病灶剔除联合子宫动脉阻断术治疗子宫腺肌病的疗效比较

Efficacy comparison of ultrasound ablation and laparoscopic lesion resection with uterine artery ligation in treatment of adenomyosis

目的比较超声消融技术与腹腔镜下病灶剔除联合子宫动脉阻断术治疗子宫腺肌病的疗效。方法采用前瞻性、非随机对照临床研究方法,对该院2011年3月至2012年6月就诊的有临床症状且要求保留子宫的腺肌病患者采用超声消融技术(超声消融组,40例)和腹腔镜下病灶剔除联合子宫动脉阻断术(手术组,38例)治疗,比较两组治疗后1、3、6个月月经量、痛经及满意度情况。结果术后1、3、6个月,两组患者月经量明显减少(P<0.05),痛经症状明显改善(P<0.05),对治疗效果均满意。两种治疗方法之间比较差异无统计学意义(P>0.05)。结论采用超声消融技术和腹腔镜下病灶剔除联合子宫动脉阻断术治疗子宫腺肌病可以达到同等的治疗效果。

Objective To compare the efficacy of ultrasound ablation and laparoscopic lesion resection with uterine artery ligation in treating adenomyosis. Methods By using the prospective,non-randomized controlled clinical study method,the adenomyosis patients with clinical symptoms and requiring reserved uterus in our hospital from March 2011 to June 2012 were treated by the ul- trasound ablation technique（ultrasound ablation group,40 cases） and the laparoscopic lesion resection with uterine artery ligation （operation group, 38 cases）. The menstrual blood volume, dysmenorrhea and treatment satisfaction in postoperativel, 3,6 months were compared between the two groups. Results The menstrual blood volumes in postoperative 1,3,6 months in the two groups were decreased significantly（P〈0.05）, the dysmenorrhea symptoms were improved significantly（P〈0. 05）, the two groups all were satisfied with the treatment effect. The differences between the two groups had no statistical significance（P〉0.05）. Conclu- sion The two methods of the ultrasound ablation technique and the laparoscopic lesion resection with uterine artery occlusion for treating adenomyosis could significantly reduce the menstrual blood volume,improve dysmenorrheal and obtain higher satisfaction. Both can achieve the same therapeutic effect.