B超引导下射频热凝固微创治疗子宫肌瘤和子宫腺肌瘤

目的探讨射频热凝固微创治疗子宫肌瘤、腺肌瘤的疗效和临床特点。方法应用热凝固器,将射频定点介入到子宫腺肌瘤病灶内,使病变组织热凝固坏死吸收。治疗直径小于5.0cm的子宫肌瘤150例,腺肌瘤70例。结果经妇科检查和B超诊断,本组子宫腺肌瘤平均直径3.6cm。3个月后病灶直径不同程度的缩小,痛经明显减轻或消失,随访18个月,子宫肌瘤总有效率为94%,子宫腺肌瘤为88.6%。结论B超介入射频热凝固器微创治疗子宫肌瘤和腺肌瘤等子宫良性疾病是一种十分有效的微创治疗方法。该方法避免了切除子宫带来的痛苦,对月经无明显不良影响。与其它非手术方法比较具有治疗时间短、见效快、疗效高、住院时间短和费用低等特点,值得进一步推广。

Radiofrequency heat Coagulation minimal Invasive Treatment of Adenomyoma and Leiomyoma of Uterus by B ultrasound

Objective To investigate the effect and clinical characteristics of the treatment of adenomyoma and leiomyma of uterus by radiofrequency heat coagulation minimal invasive treatment(RHCMIT). Methods two hundred and twenty patients (150 with leiomyoma and 70 with adenomyoma less than 5.0cm in diameter) with severe dysmenorrhea were treated by RHCMIT,A special heat-coagulator were placed to the lesion through vaginal and uterine cavity,monitored by B ultrasound,in order to heat-coagulate the lesion by raising the local temperature .Results By the clinical and B ultrasonic examination,the average diameter of the adenomyomas and leiomyomas in this group was 3.6 cm ,The dysmenorrhea releasing rate was 88.6% in adenomyoma and 94% in leiomyoma in 18-month follow up. Conclusions RHCMIT is a mini-invasive,safety,fast,effective and low-cost therapy for adenomyoma and leiomyoma less than 5.0 cm in diameter.