| 滕想,岳小妹,孙菊英,罗宇,米真真,王英姿.超声引导自凝刀射频治疗功血及子宫肌瘤[J].中国医学影像技术,2004,20(1):93~95 |
| 超声引导自凝刀射频治疗功血及子宫肌瘤 |
| Ultrasound-guided self-clotting cutter radiofrequency in treatment of dysfunctional uterine bleeding and myoma of the uterus |
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| DOI： |
| 中文关键词: 射频治疗 功血 子宫肌瘤 超声引导 |
| 英文关键词:Radiofrequency Dysfunctional uterine bleeding Myoma of uterus Ultrasound-guided |
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| 中文摘要: |
| 目的 提高超声引导自凝刀射频治疗功血、子宫肌瘤的治愈率及有效率。方法 肌壁间肌瘤及浆膜下肌瘤,穿刺前超声设计恰当的穿刺部位和角度,以宫颈管线为纵坐标线,以宫颈内口水平划横坐标线,超声测量计算肌瘤部距浆膜内0.8cm的点与坐标角度在45~135°,超声引导及监视下自凝刀通过宫颈、宫腔自然腔道,沿超声设计好的穿刺路线准确插入肌瘤内至设计点,瘤体直径＞3 cm者要先穿近浆膜处,待凝固完全后再退向近宫腔处。肌瘤直径≥4.5 cm者, 术前均给予米非司酮12.5 mg/d,服用1~3个月以缩小瘤体。结果 所有手术患者手术过程均顺利,无一例子宫穿孔、大出血、肠管及膀胱损伤等并发症。23例中功血4例、肌瘤19例。功血3例一次治愈、1例两次治愈,治愈率100%;子宫黏膜下肌瘤4例术后1个月复查肌瘤完全消失。肌壁间及浆膜下肌瘤15例,3例3个月复查肌瘤完全消失,12例3个月、6个月复查肌瘤体积缩小率大于60%、80%,肌壁间及浆膜下肌瘤治愈率93%;功血及肌瘤的总有效率均达100%。结论 超声引导自凝刀射频治疗功血及子宫肌瘤创伤小、操作简单、安全, 改进治疗方法后治疗效果满意, 具有明确的临床价值。 |
| 英文摘要: |
| Objective To improve the effective rate in treating dysfunctional uterine bleeding and myoma of the uterus by ultrasound-guided self-clotting cutter. Methods Choosing appropriate site and angle by cervical canal as Y axis and isthmus uteri as X axis to make point of myoma to serous by calibration at 45-135° angle before puncturing intramural myoma and subserous myoma. Ultrasound-guided self-clotting cutter puncture myoma precisely through cervical canal and designed route. If diameter of the myoma was greater than 3cm, self-clotting cutter punctured serous first, and then forwarded to cervical canal after clotting thoroughly. The patients with myoma diameter ≥4.5 cm had taken mifepristone 12.5mg per day for 1-3 months to decrease the volume of the myoma. Results Total 23 patients suffering from dysfunctional uterine bleeding (4) or myoma of uterus (19) were treated with satisfactory result without complications, such as uterine perforation, massive hemorrhage, injury of the bowels and bladder. With cure rate of 100% in 4 cases of dysfunctional uterine bleeding, 3 cases were cured at the first treatment, and 1 case at second treatment. Among 19 cases of myoma, subserous myoma in 4 cases disappeared thoroughly 1 month after procedure. The size of the myoma in 12 cases was decreased 60% 3 months and 80% 6 months after procedure. The rate of curing intramural myoma and subserous myoma was 93%; The effective rate of treating dysfunctional uterine bleeding and myoma of uterus with ultrasound guided self clotting cutter was 100%. Conclusion Ultrasound-guided self-clotting cutter radiofrequency, especially with an improved technique is considered as a convenient, less invasive, easy to perform and safe technique in treatment of dysfunctional uterine bleeding and myoma of uterus. |
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