| 黄秀娟,杨顺实,李珏颖,毛明峰,李晶晶,赵小禹.腹腔镜联合经阴道超声引导微波消融治疗子宫腺肌病[J].中国介入影像与治疗学,2018,15(3):148-151 |
| 腹腔镜联合经阴道超声引导微波消融治疗子宫腺肌病 |
| Laparoscopy and transvaginal ultrasound guided microwave ablation for adenomyosis |
| 投稿时间：2017-09-06 修订日期：2017-12-10 |
| DOI：10.13929/j.1672-8475.201709006 |
| 中文关键词: 微波消融 腹腔镜 腔内超声检查 子宫腺肌病 |
| 英文关键词:Microwave ablation Laparoscopy Endosonography Adenomyosis |
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| 中文摘要: |
| 目的 探讨腹腔镜联合经阴道超声引导微波消融治疗子宫腺肌病的安全性及疗效。方法 对70例子宫腺肌病患者（共89个病灶）行腹腔镜联合经阴道超声引导微波消融治疗。观察术中及术后并发症。比较治疗前后痛经程度评分、月经量、痛经时间的差异。术后1、3、6个月复查超声，测量子宫及病灶体积，并与术前比较。结果 除1例术后1~3天宫腔内排出坏死组织液及3例阴道少量出血外，余66例均无明显并发症。与术前相比，术后患者痛经程度评分明显减低、月经量明显减少、痛经时间明显缩短（P均<0.01）。与术前相比，术后1、3、6个月子宫体积及病灶体积均明显减小（P均<0.01）。结论 腹腔镜联合经阴道超声引导微波消融治疗子宫腺肌病是一种安全、有效的方法。 |
| 英文摘要: |
| Objective To investigate the safety and efficacy of microwave ablation guided with laparoscopy and transvaginal ultrasound in the treatment of adenomyosis. Methods Seventy patients with 89 lesions of adenomyosis were treated with laparoscopy and transvaginal ultrasound guided microwave ablation. Intraoperative and postoperative complications were observed. The differences in dysmenorrhea score, menstrual flow and dysmenorrhea time before and after treatment were compared. Ultrasound examinations were performed 1, 3 and 6 months after treatment to measure the volumes of uterus and adenomyosis lesions.Results Outflow liquid from vagina 1-3 days after treatment was found in 1 patient, and mild vaginal bleeding was found in 3 patients. No serious complication occurred in the other 66 patients. Compared with preoperation, the dysmenorrhea score, menstrual flow and dysmenorrhea time decreased in all patients after treatment (all P<0.01). The volumes of uterus and adenomyosis lesions 1, 3 and 6 months after treatment were significantly less than those before treatment (all P<0.01). Conclusion Laparoscopy and transvaginal ultrasound guided microwave ablation is a safe and efficient therapy for adenomyosis. |
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