超声引导下小于5cm子宫肌瘤射频治疗156例疗效观察

目的寻找一种避免小于5cm以下子宫肌瘤继续增大的可靠的治疗方法,研究子宫肌瘤射频治疗的临床效果。方法 2013-01/2014-03月选自愿接受射频消融治疗子宫肌瘤的患者156例,肌瘤187个,肌瘤瘤体直径1.5~5cm,在B超监视和引导下经阴道行子宫肌瘤射频消融术。结果治疗后随访超过3个月153例、6个月150例（180个肌瘤）,治愈率为30.66%（46/150）,治疗有效率100%（150/150）。结论射频消融术能有效控制5 cm以下子宫肌瘤继续增大,是一种能保留子宫的的可靠微创技术,可重复治疗,无辐射,易推广应用。

Clinical Efficacy of Ultrasonic Radio Frequency Technology Therapy on 156 less than 5cm of Uterine Leiomyoma

Objective Find a reliable therapeutic method for a control of less than 5cm of uterine Leiomyoma continuing to increase.To evaluate the clinical efficacy of treatment of uterine leiomyom using radiofrequency ablation.Methods From January 2013 to March2014,156 patients of uterine leiomyoma voluntarily accepted radiofrequency ablation,leiomyoma 187,leiomyoma tumor diameter was 1.5~5 cm.Patients was monitored and guided by the B ultrasound with conducting transvagnal uterine fibroids radiofrequency ablation.Results The 156 patients after the operation were followed up for 3 months in153 cases,6 months in150 cases（180fibroids）.The cure rate was 30.66%（46/150）.The effective rate of treatment was 100%（150/150）.Conclusion Radio frequency ablation can effectively prevent 5 cm following uterine fibroids from continuing to increase,which is a reliable minimally invasive technique to preserve the ulteras,repeated treatment to preserve the uterus,no radiation,easy popularization and application.