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目的:采用超声引导下射频热凝固治疗子宫肌瘤,探讨非手术的微创技术治疗子宫肌瘤的优点。方法:超声扫查以子宫纵切面为主,辅以横切面,纵横交换观察,正确引导自凝刀安全、准确地经阴道、宫颈穿刺到肌瘤内,超声监视下确定刀尖在肌瘤内。结果:13例黏膜下肌瘤,治愈率为100%;50例壁间肌瘤,治愈率为80%,有效率为16%。结论:超声引导下射频治疗子宫肌瘤有很好的治疗效果。
OBJECTIVE: To study the advantages of non-surgical minimally invasive techniques in the treatment of uterine fibroids by ultrasound-guided radiofrequency thermocoagulation for uterine fibroids. Methods: The uterine longitudinal section was mainly scanned by ultrasound, supplemented by transverse section and observed vertically and horizontally. The self-coagulation knife was correctly and safely guided by the vaginal and cervical punctures into the myoma. Ultrasound was used to determine the tip in the fibroids . Results: In 13 cases of submucosal fibroids, the cure rate was 100%. In 50 cases of intramural fibroids, the cure rate was 80% and the effective rate was 16%. Conclusion: Ultrasound-guided radiofrequency treatment of uterine fibroids has a very good therapeutic effect.