经皮微波消融联合无水乙醇注射治疗子宫肌瘤疗效观察

发布时间：2018-06-27 03:16

本文选题：微波消融 + 无水乙醇　；参考：《中国超声医学杂志》2015年10期

【摘要】：目的探讨经皮微波消融联合无水乙醇瘤周注射治疗均径5cm症状性子宫肌瘤的临床疗效。方法 54例单发的子宫肌瘤,长径5.1~8.8cm,平均(6.3±2.41)cm,随机分成两组,对照组28例,行常规的微波消融治疗;研究组26例,在常规子宫肌瘤微波消融基础上行瘤周滋养动脉无水乙醇注射治疗;术后随访3个月,观察比较两组患者治疗效果。结果治疗结束后即刻行静脉超声造影,研究组显示1例70%无增强,1例50%无增强,24例无造影剂充填,消融有效率为92.23%(24/26)。对照组3例约45%无增强,1例50%无增强,1例70%无增强,均行第二次凝固治疗,致结节完全无增强,有效率为82.14%(23/28)。两组相比有统计学意义(P0.05)。结论经皮微波消融联合无水乙醇瘤周注射,可提高子宫肌瘤的有效消融率。
[Abstract]:Objective to investigate the clinical effect of percutaneous microwave ablation combined with anhydrous ethanol injection in the treatment of 5cm symptomatic hysteromyoma. Methods 54 cases of single uterine myoma with a long diameter of 5.1 cm (6.3 卤2.41 cm) were randomly divided into two groups: the control group (n = 28) received conventional microwave ablation, the study group (n = 26), and the control group (n = 26). On the basis of conventional microwave ablation of uterine leiomyoma, anhydrous ethanol injection of peripheral trophoblastic artery was performed, followed up for 3 months, and the therapeutic effects were observed and compared between the two groups. Results venography was performed immediately after treatment. In the study group, 70% of the patients had no enhancement and 1 case had 50% no enhancement and 24 cases had no contrast media filling. The effective rate of ablation was 92.23% (24 / 26). In the control group, about 45% of the patients had no enhancement and 1 case (50%) had no enhancement. One case (70%) had no enhancement. The second coagulation therapy resulted in no enhancement of the nodules, and the effective rate was 82.14% (23 / 28). There was significant difference between the two groups (P0.05). Conclusion Percutaneous microwave ablation combined with anhydrous ethanol injection can improve the effective ablation rate of uterine leiomyoma.
【作者单位】：濮阳市中医医院超声介入科;
【基金】：濮阳市科技攻关计划(No.130638)
【分类号】：R737.33

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