超声引导下微波消融治疗子宫肌瘤的围术期效果分析

Analysis on perioperative effect of ultrasound-Guided microwave ablation in treatment of hysteromyoma

目的对超声引导下微波消融治疗子宫肌瘤围术期不良反应进行总结,并对手术效果进行分析。方法选取本院2016年7月～2018年7月微波消融治疗子宫肌瘤的患者100例,并且对围术期的不良反应和效果进行观察和讨论。结果对于肌壁间肌瘤、黏膜下肌瘤和浆膜下肌瘤采用超声引导下微波消融治疗,均可显著降低子宫肌瘤的体积,手术之后不良反应主要以疼痛(88.00%)、血压升高(38.00%)、发热(22.00%)和阴道血性分泌物(22.00%)为主要症状,发热情况主要为低度热,不存在严重并发症,术后进行1个月随访发现,阴道血性分泌物持续时间平均为(4.45±1.23)d,治疗之后当月月经来潮,痛经现象得到缓解。结论超声引导下微波消融技术对子宫肌瘤的治疗有着安全、微创以及有效的优点,存在不良反应较少,并且不存在严重并发症。

Objective To summarize perioperative adverse reactions of ultrasound-guided microwave ablation in treatment of hysteromyoma and to analyze the operative effect.Methods 100 patients with hysteromyoma who were treated with microwave ablation in our hospital from July 2016 to July 2017 were selected.Perioperative adverse reactions and curative effects were observed and discussed.Results Ultrasound-guided microwave ablation for intramural myoma,submucous myoma and subserous myoma can significantly reduce the volume of hysteromyoma.The main adverse reactions after surgery were pain(88.00%),elevated blood pressure(38.00%),fever(22.00%)and vaginal blood secretion(22.00%).The main symptoms were low fever and there was no serious complication.One month follow-up after surgery found that the average duration of vaginal blood secretions was(4.45±1.23)days.After the treatment,menstruation occurred during the month and dysmenorrhea was relieved.Conclusion The ultrasoundguided microwave ablation in treatment of hysteromyoma is safe,minimally invasive and effective.It has fewer adverse reactions and no severe complication.