HIFU与腹腔镜治疗子宫肌瘤对妊娠情况的影响

Study on Influence of of HIFU and Laparoscope in the Treatment of Hysteromyoma on Pregnancy

目的研究高强度聚焦超声(HIFU)子宫肌瘤消融术、腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者的效果。方法选取我院2016年10月至2018年9月行腹腔镜子宫肌瘤剔除术的33例子宫肌瘤患者作为A组,另选取在此基础上行HIFU子宫肌瘤消融术的33例子宫肌瘤患者作为B组,比较两组的临床效果。结果 A组的总有效率高于B组(P <0.05)。治疗后, B组的手术指标、妊娠率均优于A组(P <0.05)。两组的妊娠结局比较无统计学差异(P>0.05)。结论 HIFU子宫肌瘤消融手术的治疗效果不及腹腔镜子宫肌瘤剔除术,但患者的康复时间更短,且妊娠率较高,值得临床推广。

Objective To study the effects of high-intensity focused ultrasound(HIFU) hysteromyoma ablation and laparoscopic myomectomy in the treatment of patients with hysteromyoma. Methods 33 cases of patients with hysteromyoma undergoing laparoscopic myomectomy in our hospital from October 2016 to September 2018 were selected as group A, and 33 cases of patients with hysteromyoma undergoing HIFU hysteromyoma ablation on this basis were selected as group B. The clinical effects of the two groups were compared.Results The total effective rate of group A was higher than that of group B(P<0.05). After treatment, the operation indicators and pregnancy rate of group B were better than those of group A(P<0.05). No statistical difference was found in the pregnancy outcomes between the two groups(P>0.05). Conclusions HIFU hysteromyoma ablation is less effective than laparoscopic myomectomy, but the former has shorter recovery time and higher pregnancy rate, which is worthy of clinical promotion.