海扶刀与子宫切除术对子宫肌瘤的治疗效果分析

Comparative analysis of the therapeutic effect of Haifu knife and hysterectomy in the treatment of hysteromyoma

目的:比较应用海扶刀与子宫切除术治疗子宫肌瘤的临床效果。方法:2018年4月-2020年1月收治子宫肌瘤患者68例,随机分为两组,各34例。试验组行海扶刀治疗;对照组行子宫切除术治疗。比较两组治疗效果。结果:两组治疗后肌瘤体积和肌瘤直径均较治疗前显著减小,但两组比较差异无统计学意义(P>0.05)。试验组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。试验组术后下床时间和住院时间均明显短于对照组,差异有统计学意义(P<0.05)。结论:海扶刀治疗子宫肌瘤可获得与子宫切除术相同的治疗效果,且能够完整地保留患者子宫,术后康复时间更短,不良反应更少,临床应用优势显著。

Objective:To compare the clinical effect of Haifu knife(high intensity focused ultrasound tumor therapy system)and hysterectomy in the treatment of hysteromyoma.Methods:From April 2018 to January 2020,68 patients with hysteromyoma were selected and randomly divided into two groups with 34 patients in each group.The experimental group was treated with Haifu knife.The control group underwent hysterectomy.The therapeutic effects between the two groups was compared.Results:After treatment,fibroid volume and fibroid diameter in both groups were significantly reduced compared with before treatment,but the difference between the two groups was not statistically significant(P>0.05).The incidence of adverse reactions in the experimental group was significantly lower than the control group,with the difference was statistically significant(P<0.05).The time of getting out of bed and staying in hospital after the operation was shorter in the experimental group than the control group,with the difference was statistically significant(P<0.05).Conclusion:The therapeutic effect of Haifu knife in the treatment of hysteromyoma is comparable to that of hysterectomy,and the uterus can be completely preserved,the postoperative rehabilitation time is shorter,the adverse reaction is fewer,and the clinical application advantage is significant.