射频消融治疗子宫良性病变191例护理体会

目的探讨射频热凝固治疗子宫良性病变的疗效及护理方法。方法在B超检查监测下,应用凝固器,将射频定点介入到子宫病灶内,利用射频热凝固器直接接触病变部位使局部温度达55℃~85℃,使病变组织坏死、脱落,治疗各类直径小于5.0cm的子宫肌瘤35例、子宫腺肌瘤和子宫腺肌病33例、功能失调性子宫出血(功血)45例、子宫颈糜烂78例。结果子宫肌瘤有效率100%,治愈率96.5%;功血有效率100%,治愈率98%;子宫腺肌瘤、腺肌病有效率96%,治愈率78%;子宫颈糜烂治愈率100%。结论射频热凝固治疗子宫良性病变是一种操作简单、易掌握且不宜损伤正常组织的有效方法。热凝固器不易损伤正常组织。

Nursing care of radiofrequency ablation in treatment of 191 patients with uterine benign lesion

Objective To investigate the curative effect and nursing care of radiofrqeuency ablation for the treatment of uterine benign lesion.Methods Guided by B type-B ultrasonic monitoring,using coagulator,radio frequency was performed with fixed-point in uterine lesion,the local temperature,obtained by direct contact with coagulator in lesion,was up to 55℃～85℃,which resulted in necrosis,ablation of lesion tissues.It was in the treatment of 35 cases of hysteromyoma with diameter < 5.0 cm,33 cases of endometrioma and adenomyosis,45 case of dysfunctional uterine bleeding and 78 cases of cervical erosion.Results The effective and curative rate of hysteromyoma was 100% and 96.5% respectively; The effective and curative rate of dysfunctional uterine bleeding was 100% and 98% respectively;The effective and curative rate of endometrioma and adenomyosis was 96% and 78% respectively;The curative rate of cervical erosion was100%.Conclusion Radiofrequency thermocoagulation for the treatment of uterine benign lesion is an easy handling procedure,and is effective for uterine benign lesion..The coagulator can't easily damage the normal tissues.