子宫肌瘤采用肌瘤剔除术与高强度聚焦超声治疗的对比观察.pdfVIP

他患Ii t~f:X，!t. 2016 年 10 月 20 日第 1 卷第 20 期 ·临床医学· 子宫肌瘤采用肌瘤剔除术与高强度聚焦超声治疗的 对比观察 赵敬生 1 ，胡龙非 1 ，张向阳 2 ，党蓉芳 1 ，薛晓玲 1 (1.宝鸡市妇幼保健院妇科海扶中心，陕西宝鸡， 7210∞; 2. 解放军五三七医院放射科，陕西宝鸡，7210∞) 摘要:自由串研究对比子宫肌瘤采用肌瘤剔除术与高强度聚焦超声(HIFU)治疗的临床疗效。方馆将 202 例接受治疗的子宫 肌瘤患者，分为 HIFU 纽 143 例，手术纽约例。对比两组患者手术时间、术中术后出血、住院时间、术后恢复自主活动、恢复 工作时间、症状缓解、复发和新发肌瘤情况。锦慕两组患者治疗前和治疗后口个月 UFS-QOL、手术时间和新发肌瘤无显著 差异(po.OS); 术中术后出血、住院时间、术后恢复自主活动、恢复工作时间和复发率比较，HIFU 纽明显优于手术纽(p 0.05) 。错俗 HIFU 治疗是保留子宫、非手术治疗的另一种选择，同时要充分结合患者诉求，考虑患者在微创和无创的获益卒， 制定个体化治疗，才能真正让患者受益。 关键词:子宫肌瘤;肌瘤剔除术;高强度聚焦超声 申固分类号: R737.33 文献标志码:A 文章编号: 2096-1413(2016)却-刷8-02 The etfect of laparoscopic myomectomy and high iotensity focused u1trasound 00 patieots with myoma of uterus ZHAO Jing-sheng 1, HU Long-fei 1, ZHANG Xiang-yang 2, DANG Rong-fang 1, XUE Xiao-ling 1 (1. Department of Gyengcological , the Haifu Center of Matemal and Childrens Health Hosipital of Baoji; 2. Department of Radiology , the Peoples Liberation Army 537 Hospital , Baoji 721仪则， China) Abstract: Objective To investigate the effect of laparoscopic myomectomy and high intensity focused ultrasound on myoma of uterus. Methods Two hundred and two patients with uterine fibroids including one hundred and fo由-three cases treated with HIFU as HIFU group and fifty-nine cases treated with surgeηas surgery group were selected. The operation time , intraoperative and postoperative bleeding, postoperative hospital stay, postoperative recove巧。f autonomous activities and work time，时currence of symptoms, and new hair fibroids were compared between two groups. Resu/ts The UFS-QO L, operation time a