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目的:探讨超声引导下子宫肌瘤消融治疗子宫肌瘤的临床疗效。方法:选择2013年5月～2016年7月我院收治的子宫肌瘤患者69例,对其应用超声引导下子宫肌瘤消融治疗。结果:超声引导下子宫肌瘤消融术治疗本组腺肌瘤、肌壁间肌瘤的总有效率为100.00%、100.00%,高于浆膜下肌瘤72.73%(P<0.05)。超声引导下子宫肌瘤消融术治疗3cm以下、3～5cm子宫肌瘤的总有效率分别为96.00%、100.00%,均高于5cm以上～7cm的68.42%(P<0.05)。本组治疗后子宫肌瘤体积显著降低于治疗前(P<0.05)。结论:超声引导下子宫肌瘤消融治疗子宫肌瘤疗效满意,操作简便,可以有效缩小子宫肌瘤,改善月经量增多、痛经等月经不调症状,特别对于直径3cm以下、3～5cm腺肌瘤与肌壁间肌瘤效果更佳,适于临术推广。
Objective: To investigate the clinical efficacy of ultrasound guided uterine myoma ablation of uterine fibroids. Methods: From May 2013 to July 2016, 69 patients with uterine fibroids admitted to our hospital were treated with ultrasound-guided ablation of uterine fibroids. Results: The total effective rate of uterine fibroids ablation for the treatment of adenomyosis and muscular intramural fibroids was 100.00% and 100.00%, respectively, which was higher than that of subserosal fibroids (72.73%, P <0.05). Ultrasound-guided uterine fibroids ablation of 3cm or less, 3 ~ 5cm uterine fibroids, the total effective rate was 96.00%, 100.00%, were higher than 5cm ~ 7cm of 68.42% (P <0.05). The volume of uterine fibroids in this group was significantly reduced after treatment (P <0.05). Conclusion: Uterine fibroids ablation therapy of uterine fibroids under the guidance of the curative effect is satisfactory, easy to operate, can effectively reduce uterine fibroids, improve menstruation, dysmenorrhea and other irregular menstruation symptoms, especially for the diameter of 3cm, 3 ~ 5cm adenomyoma And myometrial myoma better, suitable for clinical promotion.