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目的探讨超声引导下射频消融手术治疗子宫腺肌症的效果及对患者卵巢功能的影响。方法选取2013年6月-2016年6月该院收治的98例子宫腺肌症患者的临床资料进行回顾性分析,根据手术方法分为射频组(51例,超声引导下射频消融术治疗)和传统组(47例,采用传统手术行子宫全切或次全切手术)。对比两组的手术效果、术后卵巢功能。结果射频组患者的手术时间、出血量、住院时间均低于传统组(均P<0.05);射频组患者的治愈率低于传统组(P<0.05);术前,两组患者血清E_2、FSH、LH水平比较,差异无统计学意义(均P>0.05);术后,射频组患者血清E_2水平高于传统组(P<0.05),FSH、LH水平低于传统组(P<0.05);术后射频组患者的血清E_2、FSH、LH水平与术前比较差异无统计学意义(P>0.05),传统组E_2水平较术前显著降低(P<0.05)、FSH及LH较术前显著升高(P<0.05)。结论超声引导下射频消融手术治疗子宫腺肌症的治愈率不及传统子宫切除术,但具有创伤小、术后对患者卵巢功能影响小的优点。
Objective To investigate the effect of ultrasound-guided radiofrequency catheter ablation on the treatment of adenomyosis and its effect on ovarian function in patients. Methods The clinical data of 98 patients with adenomyosis treated in our hospital from June 2013 to June 2016 were retrospectively analyzed and divided into radiofrequency group (51 cases, radiofrequency catheter ablation under ultrasound guidance) and The traditional group (n = 47, underwent traditional surgical hysterectomy or subtotal resection). Comparison of the two groups of surgical results, postoperative ovarian function. Results The radiotherapy group had lower operation time, bleeding volume and hospitalization time than those in the traditional group (all P <0.05). The cure rate of the radiofrequency group was lower than that of the traditional group (P <0.05) (P <0.05). After the operation, the level of serum E_2 in patients with radiofrequency was higher than that in the traditional group (P <0.05), and the levels of FSH and LH were lower than those in the traditional group (P <0.05) (P 0. 05). The level of E 2 in the traditional group was significantly lower than that before the operation (P 0. 05), and the levels of FSH and LH in the postoperative radiofrequency group were significantly lower than those before operation Significantly increased (P <0.05). Conclusion The cure rate of ultrasound-guided radiofrequency catheter ablation of adenomyosis is less than that of conventional hysterectomy, but it has the advantages of less trauma and less influence on ovarian function of patients after radiofrequency ablation.