自凝刀治疗子宫肌瘤36例疗效观察

目的探讨射频自凝刀治疗子宫肌瘤的临床疗效。方法采用自凝刀治疗子宫肌瘤患者36例，术后预防感染3-5d，随访3～6个月判定疗效。结果36例子宫肌瘤患者共有肌瘤58个，治愈53个，治愈率91．4％，好转5个，好转率8．6％，无并发症发生。结论自凝刀治疗子宫肌瘤安全、操作简单、不需麻醉、手术时间短、出血少、疗效确切、不干扰内分泌功能，是目前微创手术治疗子宫肌瘤的较好方法。

Observation of 36 hysteromyomas treated with self-curing knife

Objective To explore the therapeutical effects of treating hysteromyomas with radiofrequency self-curing knife.Methods 36 patients with hysteromyoma were treated with self-curing knife.After operation they were given preventive measures to keep off infections for 3~5 days and a follow-up of 3~6 months was ordered.Results 58 myomas were found in association with the 36 cases of hysteromyoma.53 out of 58 were cured and the cure rate accounted for 91.4%.5 cases improved and the improvement rate was 8.6%.No complications occurred.Conclusion This surgical procedure is safe and easy to operate.The patient has no need of narcosis.The operative duration is short.There is less bleeding with sure effective outcome.No interference with endocrine function occurs.So it is an appropriate choice to treat hysteromyomas with self-curing knife when it comes to operative microtrauma treatment of hysteromyoma.