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目的:观察子宫动脉栓塞术(Uterine artery embolization,UAE)、射频消融术(Radiofrequency Ablation,RFA)和传统子宫切除术治疗子宫肌瘤的疗效,为选择最佳的治疗方案提供依据。方法:根据UAE、RFA及传统手术的适应证和禁忌证选择在该院治疗的子宫肌瘤患者178例为研究对象,传统手术组43例,UAE组73例,RFA组62例,并追踪随访半年,比较3组的症状改善情况、总体疗效和不良反应等指标。结果:传统手术组平均住院7.69日,UAE组平均住院4.58日,RFA组患者一般无需住院(P<0.05)。总体疗效以RFA最佳,其次为传统手术,再次为UAE(P<0.05)。结论:射频消融术(RFA)治疗简单、恢复快、安全有效、费用低;子宫动脉栓塞术(UAE)可以用于浆膜下及瘤体偏大的肌瘤,并且微创、恢复快;传统的子宫切除术,可作为上述方法治疗失败的备用方法。
Objective: To observe the curative effect of Uterine artery embolization (UAE), Radiofrequency ablation (RFA) and conventional hysterectomy for uterine fibroids, and to provide basis for choosing the best treatment plan. Methods: According to the indications and contraindications of UAE, RFA and traditional surgery, 178 patients with uterine leiomyoma treated in this hospital were enrolled in this study. 43 patients in traditional surgery group, 73 in UAE group and 62 in RFA group were followed up Six months, compared the three groups to improve the symptoms, the overall efficacy and adverse reactions and other indicators. Results: In the traditional surgery group, the average hospitalization was 7.69 days. In the UAE group, the average hospitalization was 4. 58 days. Patients in the RFA group generally did not need hospitalization (P <0.05). The overall efficacy of RFA best, followed by traditional surgery, again UAE (P <0.05). Conclusions: Radiofrequency ablation (RFA) is a simple, rapid, safe, effective and cost-effective method. Uterine artery embolization (UAE) can be applied to subserosal tumors and fibroids with large tumors and minimally invasive and rapid recovery. Conventional Hysterectomy, can be used as an alternative method of failure of the above treatment.