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目的探讨超声引导下射频消融治疗子宫腺肌瘤的临床价值。方法对878例子宫腺肌瘤患者行射频消融治疗,根据腺肌瘤最大径线分为A(≤5cm)、B(>5cm,≤6cm)、C(>6cm,<7cm)组,观察各组手术时间、穿刺次数、术中出血量、术后并发症,随访6个月评估临床疗效。结果如果射频针不变的情况下,临床疗效有随着瘤体增大而减小的趋势,差异有统计学意义(P<0.05),对于瘤体最大经线≤5cm,临床疗效明显(有效率为98.01%)。腺肌瘤大小和手术操作过程有密切关系,随着瘤体体积的增大手术时间延长、穿刺次数增加、术中出血量增加,A、B、C组两两比较有显著性差异(P<0.05);随着瘤体增大,术后并发症逐渐增加(P<0.05)。结论在严格掌握适应证的情况下,射频消融治疗子宫腺肌病疗效确切,具有应用发展前景。
Objective To investigate the clinical value of ultrasound guided radiofrequency ablation in the treatment of adenomyoma. Methods A total of 878 cases of adenomyosis were treated with radiofrequency catheter ablation. According to the maximum diameter of adenomyoma, the patients were divided into A (≤5cm), B (> 5cm, ≤6cm), C (> 6cm, <7cm) Group operation time, puncture frequency, intraoperative blood loss, postoperative complications, follow-up of 6 months to assess the clinical efficacy. Results When the RF needle was unchanged, the clinical efficacy decreased with the increase of the tumor, the difference was statistically significant (P <0.05), the maximum warp of the tumor ≤ 5cm, the clinical efficacy was significant (effective rate 98.01%). There was a close relationship between the size of adenomyoma and the operation procedure. With the enlargement of the tumor volume, the operation time was prolonged, the number of punctures increased and the amount of intraoperative blood loss increased. There was a significant difference between groups A, B and C (P < 0.05). As the tumor size increased, postoperative complications gradually increased (P <0.05). Conclusion In the case of strict indications, radiofrequency ablation for the treatment of adenomyosis has the exact effect, with the application prospects.