射频治疗宫颈粘膜下肌瘤32例临床观察

Clinical observation on therapeutic effect of radiofrequency coagulation therapy Performed in 32 patients with cervical submucous myoma

目的 :采用射频凝固术治疗宫颈粘膜下肌瘤。方法 :选 32例经妇科检查和B超诊断为宫颈粘膜下肌瘤的患者。在B超引导下 ,用射频治疗刀经阴道凝切肌瘤蒂部 ,并凝固残端。结果 :32例患者除 1例因B超复查有残蒂存留行二次治疗外 ,余均用 4 0W治疗 4 .5± 3(3～ 10 )分钟 ,一次完成。 32例患者症状均明显改善或消失 ,一次治愈率为97% ,总有效率达 10 0 %。结论 :射频凝固术治疗宫颈粘膜下肌瘤简单、安全、快速、有效 。

Objective To observe therapeutic effect of radiofrequency coagulation therapy(RFCT).Methods We selected 32patients with cervical submucous myoma diagnosed by ultrasonography and gynecological examination. Under the direction of Brightness Mode ultrasound, the pedicle of the myoma was coagulated and resected by means of radiofreguency exsector through vagina, then the residual end was coagulated. Results In 32 cases, with one case of exception that was confirmed by reexamination of Brightness Mode ultrasonography to leave a residual unresected pedide and was resected secondly , the rest were treated with 40w for 4.5±3min(3～10min) of radiofrequency coagulation therapy at first time. The symptoms of 32 patients were all significantly improved or disappeared, and one time curative rate was 97%,the total effective rate was 100%. Conclusion:RFCT is a simple,safe,fast and effective approach for treatment of cervical submucons myoma, which offers an alternative to hysterectomy in some cases.