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目的:探讨射频消融治疗子宫肌瘤的疗效及可行性。方法:对超声引导下经阴道行射频消融治疗的229例子宫肌瘤进行回顾性分析,术后1个月、3个月、6个月随访观察疗效。结果:射频消融治疗子宫肌瘤总有效率为95.2%(218/229)。以粘膜下肌瘤疗效最佳,其次为肌壁间肌瘤及宫颈肌瘤,浆膜下肌瘤较差。总有效率分别为100%,96.0%,90.9%,82.4%。肌瘤大小以<3 cm疗效最佳,3～5 cm疗效次之,>5 cm疗效较差。总有效率分别为100%,95.8%,69.6%。结论:射频消融治疗子宫肌瘤是安全有效的,可以作为子宫肌瘤保守治疗的一种微创治疗方法。
Objective: To investigate the efficacy and feasibility of radiofrequency ablation in the treatment of uterine fibroids. Methods: A retrospective analysis was performed on 229 cases of uterine leiomyoma treated with ultrasound guided transvaginal radiofrequency ablation. The effects were observed at 1 month, 3 months and 6 months after operation. Results: The total effective rate of radiofrequency ablation for uterine fibroids was 95.2% (218/229). Submucosal fibroids with the best efficacy, followed by intramural fibroids and cervical fibroids, subserosal fibroids poor. The total effective rate was 100%, 96.0%, 90.9%, 82.4% respectively. Fibroids size <3 cm best efficacy, followed by 3 ~ 5 cm,> 5 cm less effective. The total effective rate was 100%, 95.8%, 69.6%. Conclusion: Radiofrequency ablation is a safe and effective treatment of uterine fibroids, which can be used as a minimally invasive treatment for conservative treatment of uterine fibroids.