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目的研究采用妇科多功能射频治疗仪(以下称自凝刀)射频消融术治疗子宫肌瘤的临床观察。方法选择直径2.0～5.0cm的子宫肌瘤患者186例,在B超监视下,用自凝刀治疗,观察术后3、6个月的子宫肌瘤的大小、形态变化。结果28例子宫黏膜下肌瘤治愈率100%;158例肌壁间治愈率31.65%、好转率61.39%、有效率6.96%,总有效率达100%。无脏器损伤的并发症。结论自凝刀是一种安全有效、无创伤且费用低的治疗子宫肌瘤的方法。
Objective To study the clinical observation of radiofrequency ablation for uterine fibroids using gynecological multifunctional radiofrequency ablation instrument (hereinafter referred to as self-coagulation knife). Methods A total of 186 patients with uterine leiomyoma of 2.0 ~ 5.0cm in diameter were enrolled in this study. Patients undergoing B-ultrasound surveillance were treated with self-coagulation knife to observe the size and shape of uterine fibroids at 3 and 6 months after operation. Results 28 cases of uterine fibroids cure rate was 100%; 158 cases of intramural wall cure rate was 31.65%, improvement rate of 61.39%, the effective rate of 6.96%, the total effective rate of 100%. No organ injury complications. Conclusion Self-coagulation knife is a safe, effective, non-invasive and low-cost method of treatment of uterine fibroids.