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目的探讨超声引导下经阴道自凝刀治疗子宫肌瘤的声像图改变及疗效。方法经超声检查诊断肌瘤98例,共124个结节,进行单次或分点多次凝固治疗。对比术前、术后患者的声像图改变及临床症状的变化。结果壁间肌瘤治疗过程中,结节回声增强,直至覆盖整个病灶。术后结节以不均质较强回声为主。治疗结束后全部结节均缩小20%～28%;黏膜下肌瘤消失。随访半年,所有壁间肌瘤结节继续缩小达80%以上。一年后检查,被治疗过的结节无一例复发。CDFI显示治疗后肿瘤血供消失。结论超声引导下自凝刀经阴道治疗子宫肌瘤可有效灭活<5.5cm壁间肌瘤和清除黏膜下肌瘤。超声担负着术前诊断、术中引导、术后判断疗效的重要作用。
Objective To investigate the ultrasound-guided transvaginal self-coagulation knife treatment of uterine fibroids changes and efficacy. Methods Ultrasound examination of 98 cases of fibroids, a total of 124 nodules, single or multiple point coagulation therapy. Compare preoperative and postoperative patients with changes in acoustic imaging and clinical symptoms. Results During the treatment of intramural fibroids, the nodular echogenicity increased until it covered the entire lesion. Postoperative nodules with heterogeneous strong echo-based. After treatment, all nodules were reduced by 20% to 28%; submucosal fibroids disappeared. Follow-up for six months, all intramural fibroid nodules continue to shrink by more than 80%. A year later, there was no recurrence of the treated nodules. CDFI showed disappearance of tumor blood supply after treatment. Conclusion Ultrasound-guided self-coagulation knife vaginal treatment of uterine fibroids can effectively inactivate <5.5cm intramural fibroids and remove submucosal fibroids. Ultrasound is responsible for preoperative diagnosis, intraoperative guidance, postoperative judgment of the important role of the effect.