CAJ | 학술논문

目的探讨自凝刀射频消融术治疗子宫肌瘤的临床疗效.方法对96例子宫肌瘤患者在B超引导下经阴道对子宫肌瘤进行射频消融治疗,于术后1个月、3个月和6个月随访.结果治疗后6个月随访,42.71%月经正常,44.79%月经减少,12.5%月经无改变.贫血治愈率100%.治疗后1、3、6个月子宫和肌瘤体积呈进行性缩小,其中以治疗后6个月肌瘤缩小效果最显著.35.42%治愈,47.92%显效,15.6%有效,1.04%无效总有效率98.72%.结论自凝刀射频消融术治疗子宫肌瘤的临床疗效满意,是一种能保留子宫的完整性、恢复快、安全有效、易于操作的微创技术.
목적 탐토자응도사빈소융술치료자궁기류적림상료효.방법 대96례자궁기류환자재B초인도하경음도대자궁기류진행사빈소융치료,우술후1개월、3개월화6개월수방.결과 치료후6개월수방,42.71%월경정상,44.79%월경감소,12.5%월경무개변.빈혈치유솔100%.치료후1、3、6개월자궁화기류체적정진행성축소,기중이치료후6개월기류축소효과최현저.35.42%치유,47.92%현효,15.6%유효,1.04%무효총유효솔98.72%.결론 자응도사빈소융술치료자궁기류적림상료효만의,시일충능보류자궁적완정성、회복쾌、안전유효、역우조작적미창기술.
Objective To discuss the effect of self-clotting cutter radiofrequency ablation in curing the hysteromyoma. Methods 96 patients with hysteromyoma were selected. Their hysteromyomas were cured by self-clotting cutter radiofrequency ablation through virgina under the direction of B-ultrasound. Then they were followed up for one month, three months and six months after the operation. Results Six months after the treatment,42.71% of the patients were eumenorrhea,44.79% of the patients' menstrual bleeding volumes were few, 12.5% has no change. The cure rate of anaemia was 100%. 1 month,3 months ,6 months after the treatment, the bulks of uterus and myoma were reduced,and the myoma reduced most after six months. 35.42% of the patients were cured,47.92% had remarkable effect, 15.6% had effect, 1.04% had no effect. Total effective rate was 98.72%. Conclusion The clinical effect of self-clotting cutter radiofrequency ablation in curing the hysteromyoma was satisfactory. It was a minimally invasive technique which could keep the integrality of uterus and it was rapid recovery,effective and safe,and easy to operate.