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目的:回顾性总结超声引导下经皮穿刺微波消融治疗子宫肌瘤围手术期不良反应,评价围手术期效果。方法:采用方便抽样法,选取2010年7月～2011年5月经皮穿刺微波消融治疗子宫肌瘤的患者30例,对围手术期不良反应及效果进行观察,术后30天进行电话随访,记录主诉、症状、体征及月经情况。结果:患者术前症状以经期延长、贫血为主。术后不良反应主要有疼痛、血压升高、阴道血性分泌物、发热等,其中疼痛以轻度疼痛为主,血压变化呈一过性增高,发热以低度热为主,无严重并发症,术后30天随访,阴道血性分泌物平均持续(4.53±1.57)天,治疗后当月月经来潮、痛经症状明显缓解、贫血程度减轻、压迫症状消失、术后4～5天恢复正常工作及生活。结论:超声引导下经皮穿刺冷水循环微波消融治疗子宫肌瘤安全、微创、有效,不良反应少,无严重并发症。
Objective: To retrospectively summarize perioperative adverse reactions induced by percutaneous microwave ablation guided by ultrasound and evaluate perioperative outcomes. Methods: 30 cases of uterine fibroids were treated by percutaneous puncture microwave ablation from July 2010 to May 2011, and the adverse reaction and effect were observed during the perioperative period. The patients were followed up by telephone for 30 days Chief complaint, symptoms, signs and menstrual situation. Results: Preoperative symptoms of patients with prolonged menstruation, anemia. Postoperative adverse reactions were mainly pain, blood pressure, vaginal bloody discharge, fever, etc., of which pain was mild pain, blood pressure showed a transient increase in fever with low-level fever, no serious complications, After 30 days of follow-up, vaginal bloody secretions continued for an average of (4.53 ± 1.57) days. After the treatment, menstrual cramps, dysmenorrhea symptoms were relieved, anemia was relieved, symptoms of oppression disappeared, and resumed normal work and life 4 to 5 days after the operation. Conclusion: Ultrasound guided percutaneous cold water circulation microwave ablation of uterine fibroids safe, minimally invasive, effective, less adverse reactions, no serious complications.