高强度聚焦超声治疗症状性子宫肌瘤的初步临床分析

Preliminary clinical analysis of high intensity focused ultrasound in the treatment of symptomatic uterine fibroids

目的探讨高强度聚焦超声治疗症状性子宫肌瘤的初步临床效果。方法将2017年1月至2018年3月症状性子宫肌瘤患者90例分为两组。对照组进行传统经腹手术,观察组进行高强度聚焦超声手术。比较两组手术效果;手术实施的时间、患者手术过程出血的总量、中位住院时间;手术前后患者生活质量情况、子宫肌瘤的大小、血液流变学;手术并发症率。结果观察组手术效果高于对照组(P<0.05);观察组手术实施的时间、患者手术过程出血的总量、中位住院时间优于对照组(P<0.05);手术前两组生活质量情况、子宫肌瘤的大小、血液流变学无明显差异;手术后观察组生活质量情况、子宫肌瘤的大小、血液流变学优于对照组(P<0.05)。观察组手术并发症率低于对照组(P<0.05)。结论症状性子宫肌瘤患者行高强度聚焦超声手术手术效果明显,可更好改善生活质量情况、子宫肌瘤的大小、血液流变学,加速康复。

Objective To investigate the preliminary clinical effect of high intensity focused ultrasound in the treatment of symptomatic uterine fibroids. Methods 90 patients with symptomatic uterine fibroids from January 2017 to March 2018 were divided into two groups. The control group underwent conventional abdominal surgery and the observation group underwent high-intensity focused ultrasound surgery. The surgical outcomes of the two groups were compared;the time of operation, the total amount of bleeding during the operation, the median hospital stay;the quality of life of the patients before and after surgery, the size of uterine fibroids, hemorheology, and the rate of surgical complications. Results The operation effect of the observation group was higher than that of the control group (P<0.05). The operation time of the observation group, the total amount of bleeding during the operation, and the median hospitalization time were better than the control group (P<0.05). The quality of life of the two groups before operation were no significant difference in the situation, size of uterine fibroids, and hemorheology. The quality of life, the size of uterine fibroids, and hemorheology of the observation group were better than those of the control group (P<0.05). The operative complication rate of the observation group was lower than that of the control group (P<0.05). Conclusion Patients with symptomatic uterine fibroids have high-intensity focused ultrasound surgery, which can improve the quality of life, the size of uterine fibroids, blood rheology, and accelerate recovery.