高强度聚焦超声消融术治疗子宫肌瘤的效果分析

Analysis of the clinical effect of high intensity focused ultrasound ablation in the treatment of uterine fibroids

目的探讨高强度聚焦超声消融术治疗子宫肌瘤的效果。方法选取2014年6月至2015年12月我院收治的子宫肌瘤患者108例,按照治疗方式的不同随机分为观察组和对照组各54例。观察组给予高强度聚焦超声消融术治疗,对照组给予宫腔镜电切术。观察比较两组的手术状况,以及术后腹痛和月经状况。结果观察组患者术后排气时间、置管时间和住院时间均明显低于对照组,且差异均具有统计学意义(P<0.05)。观察组患者腹疼和月经量大的发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论高强度聚焦超声消融术应用于子宫肌瘤治疗,能够促进患者术后恢复,降低腹痛、月经量大等不良反应发生率。

Objective To investigate the clinical effect of high intensity focused ultrasound ablation in the treatment of uterine fbroids. Methods From our hospital between July 2014 to December 2015, 108 cases of patients with uterine fibroids were selected and divided into observation group and control group by different treatment methods, 54 cases in each group. The observation group was treated with high intensity focused ultrasound ablation, and the control group was treated with hysteroscopic electric resection. Observing and comparing the operation situation, postoperative pain and menstrual status of two groups. Results The postoperative exhaust time, the intubation time and the length of hospital stay in the observation group were signifcantly lower than those in the control group, and the differences were statistically signifcant （P〈0.05）.The incidence of abdominal pain and large menstrual volume in the observation group were signifcantly lower than those in the control group, the difference was signifcant （P〈0.05）. Conclusion High intensity focused ultrasound ablation in the treatment of uterine fbroids can promote postoperative recovery of patients, reduce the incidence of abdominal pain, large menstrual volume and other adverse reactions.