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目的寻求治疗子宫肌瘤的新方法。方法①腹腔镜引导经皮氩氦靶向治疗:硬膜外麻醉或全麻,在电视腹腔镜引导下,经皮氩氦靶向冷冻治疗,刀尖温度达-130~-150℃,持续15~20 min,热融温度升至20~30℃,重复1次。术后患者定期复查B超。②中药治疗:自拟散结消坚汤水煎服,每日1剂,3个月为1个疗程。结果随访6个月以上9例,其中16个月2例,12个月3例,9个月3例,6个月1例,9例患者共17个肿瘤大部分完全吸收,各种症状基本消失。结论腹腔镜下经皮氩氦靶向冷冻消融配合中药治疗子宫肌瘤,创伤微,反应小,安全性高,疗效肯定,是治疗子宫肌瘤的一种新方法。
Objective To seek a new method of treatment of uterine fibroids. Methods ① Laparoscopic guided percutaneous argon-helium targeted therapy: epidural anesthesia or general anesthesia, under the guidance of television laparoscopic percutaneous argon helium targeted cryotherapy, the tip temperature of -130 ~ -150 ℃, for 15 ~ 20 min, hot melt temperature rose to 20 ~ 30 ℃, repeated 1 time. Postoperative patients regularly review B ultrasound. ② Chinese medicine treatment: Self-Sanjie Decoction decoction, daily 1, 3 months for a course of treatment. The results were followed up for more than 6 months in 9 cases, of which 16 cases in 2 cases, 12 months in 3 cases, 9 months in 3 cases, 6 months in 1 case, 9 patients, a total of 17 tumors were completely absorbed, most of the various symptoms disappear. Conclusion Laparoscopic percutaneous argon helium cryoablation with traditional Chinese medicine treatment of uterine fibroids, micro-trauma, small reaction, high safety, efficacy is positive, is a new method of treatment of uterine fibroids.