中国激光医学杂志
中國激光醫學雜誌
중국격광의학잡지
980235.htm
2009年
6期
358-360
,共3页
微波%激光%子宫颈平滑肌瘤
微波%激光%子宮頸平滑肌瘤
미파%격광%자궁경평활기류
Microwave%Laser%Cervical leiomyoma
目的 比较微波和CO_2激光治疗子宫颈平滑肌瘤的疗效,验证微波治疗的有效性.方法 将38例子宫颈平滑肌瘤患者随机分为微波组21例和激光组17例,分别采用微波组织凝固和CO_2激光气化进行治疗.比较两组患者的治愈率,手术时间和术中、术后不良反应.结果 微波组与激光组一次治愈率均为100%.微波组与激光组术中出血的发生率分别为4.8%(1/21)和29.4%(5/17),差异有非常显著意义(P<0.001);手术时间微波组为10-20 min,激光组为20-40 min,差异有显著意义(P<0.01);术后30 d伤口愈合微波组17例(81.0%),激光组1l例(64.7%),差异有显著意义(P<0.01).结论 微波组织凝固技术治疗子宫颈平滑肌瘤术中出血发生率低,手术时间短,伤口愈合时间快,疗效确切.
目的 比較微波和CO_2激光治療子宮頸平滑肌瘤的療效,驗證微波治療的有效性.方法 將38例子宮頸平滑肌瘤患者隨機分為微波組21例和激光組17例,分彆採用微波組織凝固和CO_2激光氣化進行治療.比較兩組患者的治愈率,手術時間和術中、術後不良反應.結果 微波組與激光組一次治愈率均為100%.微波組與激光組術中齣血的髮生率分彆為4.8%(1/21)和29.4%(5/17),差異有非常顯著意義(P<0.001);手術時間微波組為10-20 min,激光組為20-40 min,差異有顯著意義(P<0.01);術後30 d傷口愈閤微波組17例(81.0%),激光組1l例(64.7%),差異有顯著意義(P<0.01).結論 微波組織凝固技術治療子宮頸平滑肌瘤術中齣血髮生率低,手術時間短,傷口愈閤時間快,療效確切.
목적 비교미파화CO_2격광치료자궁경평활기류적료효,험증미파치료적유효성.방법 장38례자궁경평활기류환자수궤분위미파조21례화격광조17례,분별채용미파조직응고화CO_2격광기화진행치료.비교량조환자적치유솔,수술시간화술중、술후불량반응.결과 미파조여격광조일차치유솔균위100%.미파조여격광조술중출혈적발생솔분별위4.8%(1/21)화29.4%(5/17),차이유비상현저의의(P<0.001);수술시간미파조위10-20 min,격광조위20-40 min,차이유현저의의(P<0.01);술후30 d상구유합미파조17례(81.0%),격광조1l례(64.7%),차이유현저의의(P<0.01).결론 미파조직응고기술치료자궁경평활기류술중출혈발생솔저,수술시간단,상구유합시간쾌,료효학절.
Objective To evaluate the outcome of microwave and CO_2 laser to treat servical leiomyoma respectively and to test the availability of microwave.Methods Thirty-eight patients were randomly divided into the microwave group(21 cases) and the CO_2 laser group(17 cases).Coagulating tissue was used in microwave group while vaporizing tissue in laser group.Results The curative ratio of both of them was 100% once time without significant differences (P >0.01).The adverse reactions after treatment in two groups were roughly the same, bleeding during the operation of microwave group was 4.8% (1/21) , significantly lower than the laser group 29.4% (5/17) , differences had very significant (P <0.001) ; operation time in microwave group was 10-20 minutes, shorter than the laser group(20-40 minutes) , there were significant differences (P<0.01) ; wound healing time (30 days) in microwave group was 81.0% vs 64.7% in CO_2 laser group, with significant differences (P <0.01).Conclusions Microwave coagulation technology treating the cervical leiomyoma with low bleeding during surgery, shorter opertion time, faster wound healing time and better curative effect, is currently the treatment of choice for cervical leiomyoma.
