高强度聚焦超声治疗子宫肌瘤的临床应用研究

Clinical Application of High Intensity Focused Ultrasound in the Treatment of Uterine Fibroids

目的探讨腹腔镜肌瘤剥除术与高强度聚焦超声治疗子宫肌瘤的临床疗效分析。方法选取乐山市人民医院2017年1月至2018年6月收治的子宫肌瘤患者60例为研究对象,将入选病例按随机数字表法分为对照组和治疗组,各30例。对照组开展腹腔镜子宫肌瘤剥除手术,治疗组开展高强度聚焦超声无创治疗。比较两组患者的疗效、经量恢复正常时间、手术切除时间、炎症反应、生存质量、不良反应及术后1年复发率。结果治疗组在临床疗效、炎症反应、生存质量、经量恢复正常时间、手术切除时间方面的改善及控制效果均优于对照组,组间比较差异有统计学意义(P <0.05)。治疗组不良反应发生率、术后1年复发率低于对照组,组间比较差异有统计学意义(P <0.05)。结论高强度聚焦超声治疗子宫肌瘤后患者临床疗效、生存质量明显提升,炎症反应得到控制,不良反应及术后复发率降低,手术效果确切。

Objective To investigate the clinical efficacy of laparoscopic myomectomy and high-intensity focused ultrasound in the treatment of uterine fibroids. Methods Sixty patients with hysteromyoma admitted to Leshan people’s Hospital from January 2017 to June 2018 were selected as the study objects, and they were divided into two groups with 30 cases in each group according to the random number table method. Laparoscopic myomectomy was performed in the control group, and high intensity focused ultrasound was performed in the treatment group. The curative effect, the time of recovery of menstrual volume, the time of resection, the time of recovery of menstrual period, the inflammatory reaction, the quality of life, the adverse reactions and the recurrence rate of one year after operation were compared between the two groups. Results The improvement and control effects of the treatment group were better than those of the control group(P < 0.05). The incidence of adverse reactions and 1-year recurrence rate in the treatment group were lower than those in the control group(P < 0.05). Conclusion After high-intensity focused ultrasound therapy, the clinical efficacy, quality of life, inflammatory response can be controlled, adverse reactions and postoperative recurrence rate are reduced. It can be used to treat patients with uterine fibroids with accurate surgical results, which is worthy of clinical application.