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目的:探讨超声引导用于射频消融治疗子宫肌瘤和功能失调性子宫出血的临床价值。方法:选择我院收治的子宫肌瘤258例及功能失调性子宫出血302例,在超声实时动态监测下,采用射频自凝刀经阴道、宫颈准确置入子宫肌瘤内部或内膜进行高频电治疗;治疗后定期超声复查,观察子宫肌瘤大小及功能性子宫出血量的改变。结果:本组258例358个子宫肌瘤中,肌壁间肌瘤252例治愈185例、显效67例,治愈率73.4%;浆膜下肌瘤32例治愈23例、显效9例,治愈率71.9%;黏膜下肌瘤74例均治愈,治愈率100%。功能失调性子宫出血302例治愈301例、显效1例,治愈率99.7%。结论:超声引导对射频消融治疗子宫肌瘤及功能失调性子宫出血具有较高的应用价值。
Objective: To explore the clinical value of ultrasound-guided radiofrequency ablation in the treatment of uterine fibroids and dysfunctional uterine bleeding. METHODS: A total of 258 cases of uterine fibroids and 302 cases of dysfunctional uterine bleeding treated in our hospital were selected. Under the real-time dynamic monitoring of ultrasound, radiofrequency self-coagulation was applied to the internal or endometrial fibroids through the vagina and cervix. Electrotherapy; regular ultrasound examination after treatment to observe the size of uterine fibroids and functional uterine bleeding changes. Results: In 258 cases of 358 uterine fibroids, 252 cases of intramural fibroids were cured in 185 cases, markedly effective in 67 cases, the cure rate was 73.4%; 32 cases of subserosal fibroids were cured in 23 cases, markedly effective in 9 cases, the cure rate 71.9%; submucosal fibroids were cured in 74 cases, the cure rate was 100%. Of 302 patients with dysfunctional uterine bleeding, 301 were cured and 1 was markedly effective, with a cure rate of 99.7%. Conclusion: Ultrasound-guided radiofrequency ablation has a high application value in the treatment of uterine fibroids and dysfunctional uterine bleeding.