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目的:探讨超声引导下射频治疗子宫肌瘤的价值。方法:124例子宫肌瘤患者在超声引导下选择穿刺点,引导自凝刀经阴道、宫颈、宫腔到达子宫肌瘤内行射频治疗,并经超声随访观察疗效。结果:5例6个黏膜下肌瘤治愈;119例137个壁间肌瘤治愈85个,显效45个,有效7个,肌瘤平均缩小2.1 cm;其中74例86个直径<3 cm的肌瘤,治愈60个,显效26个;45例51个直径3～5 cm的肌瘤,治愈25个,显效19个,有效7个。黏膜下肌瘤与壁间肌瘤相比,差异无显著性(χ2=3.579,P=0.086);直径<3 cm的壁间肌瘤与直径3～5 cm相比,差异有显著性(χ2=5.852,P=0.019)。结论:超声引导下射频治疗子宫肌瘤有很好的治疗效果,以黏膜下肌瘤及直径<3 cm的壁间肌瘤治疗效果最佳。
Objective: To investigate the value of ultrasound-guided radiofrequency treatment of uterine fibroids. Methods: 124 cases of uterine fibroids under ultrasound-guided puncture point selection, guided self-coagulation knife vaginal, cervix and uterine fibroids to line uterine fibroids internal radiofrequency ablation, and observed by ultrasound follow-up effect. Results: Five cases of 6 submucosal fibroids were cured; 119 cases of 137 intramural fibroids were cured, 45 cases were markedly effective, 7 cases were effective, and fibroids were reduced by an average of 2.1 cm. Among them, 74 cases were 86 with diameter <3 cm The tumors were cured 60, markedly effective 26; 45 cases of 51 diameter 3 ~ 5 cm fibroids, cured 25, markedly effective 19, effective 7. There was no significant difference between submucous myoma and intramural fibroids (χ2 = 3.579, P = 0.086). There was significant difference in the diameter of myometrium between 3 cm and 5 cm = 5.852, P = 0.019). Conclusion: Ultrasound-guided radiofrequency treatment of uterine fibroids has a good therapeutic effect, with submucosal fibroids and <3 cm diameter intramural fibroids best.