经皮微波消融联合无水乙醇注射治疗子宫肌瘤临床疗效观察

来源 :中华医学会第十五次全国超声医学学术会议 | 被引量 : 0次 | 上传用户:ljsamuel
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目的:探讨经皮微波消融联合无水乙醇瘤周注射治疗均径大于5cm症状性子宫肌瘤的临床疗效.方法:对54例单发的症状性子宫肌瘤长径在5.1~8.8cm,平均(6.3±2.41) cm,子宫肌瘤体积66.33~330.04cm3,平均(201±122.14) cm3(其中肌壁间肌瘤37例、浆膜下肌瘤13例、粘膜下4例)行经皮微波消融治疗,随机分成两组,26例为研究组,即在常规子宫肌瘤微波消融治疗的基础上行瘤周滋养动脉无水乙醇注射2~3ml;28例为对照组,行常规的微波消融治疗.术后随访3个月,观察患者临床疗效及有无并发症及副反应.治疗前后均行静脉超声造影及增强MRI检查,评价子宫肌瘤坏死情况及肌瘤假包膜下血管变化.
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