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目的 探讨自凝刀射频治疗子宫肌瘤的临床价值。方法 2 0 0 1年 11月至 2 0 0 3年 3月选择自愿接受自凝刀射频治疗子宫肌瘤的患者 2 0 4例 ,肌瘤 2 2 7个 ,瘤体直径 1 5～ 5 5cm ,在B超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。结果 治疗后随访 3个月 2 0 4例 ,6个月 178例 (2 2 1个肌瘤 ) ,治疗有效率分别为 87 2 2 % (198/ 2 2 7)和 96 38% (2 13/ 2 2 1)。直径≤ 3cm的肌瘤、黏膜下肌瘤、宫颈肌瘤有效率达 10 0 %。结论 自凝刀射频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 self-coagulation knife radiofrequency treatment of uterine fibroids. Methods From November 2001 to March 2003, 204 patients with uterine fibroids who underwent self-coagulation radiofrequency ablation were selected. There were 227 cases of fibroids, 25 to 55 cm in diameter, In the B-monitoring and guidance from the coagulation knife into the vaginal cervical fibroids radiofrequency treatment. Results After treatment, 204 cases were followed up for 3 months and 178 cases (221 cases) for 6 months. The effective rates were 87 2 2% (198/2 227) and 96 38% (2 13 / 2 2 1). The diameter of 3cm fibroids, submucosal fibroids, cervical fibroids effective rate of 100%. Conclusion Self-coagulation knife radiofrequency treatment of uterine fibroids is a minimally invasive technique to retain the uterus, repeatable treatment, curative effect is exact, simple, easy to promote the use of