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目的探讨射频消融(自凝刀)治疗子宫肌瘤的临床价值。方法2004年7月～2007年12月选择自愿接受射频消融治疗巨大子宫肌瘤的患者36例在静脉麻醉及全程超声动态监视和引导下将自凝刀经阴道宫颈置入肌瘤进行射频治疗,单发肌瘤21例,多发肌瘤15例,瘤体直径7～15cm。结果治疗后随访3个月～3年,治疗有效率97.2%(35/36),治愈率25.0%(9/36)。结论射频消融治疗子宫肌瘤是一种能保留子宫的微创技术,可重复治疗,疗效确切,操作简单,易推广应用。
Objective To investigate the clinical value of radiofrequency ablation (self-coagulation knife) in the treatment of uterine fibroids. Methods From July 2004 to December 2007, 36 patients who underwent radiofrequency ablation to treat huge uterine fibroids voluntarily underwent radiofrequency catheterization with a self-coagulating knife and a transvaginal cervical splenomegaly under intravenous anesthesia and full dynamic monitoring of ultrasound. 21 cases of single myoma, multiple myoma in 15 cases, tumor diameter 7 ~ 15cm. Results The patients were followed up for 3 months to 3 years after treatment. The effective rate was 97.2% (35/36) and the cure rate was 25.0% (9/36). Conclusion Radiofrequency ablation of uterine fibroids is a minimally invasive technique that can retain the uterus, repeatable treatment, curative effect is exact, simple operation, easy to promote the application.