摘要
目的探讨超声在子宫肌瘤射频治疗中的应用价值。方法术前超声确定肌瘤大小、部位,术中准确引导并动态观察射频针的位置,术后复查肌瘤大小及血流信号的变化情况。结果120例患者中肌瘤结节151个,其中26个黏膜下肌瘤,均取出或排出;98个壁间肌瘤,4个术后一个月内自行从阴道排出;94个壁间肌瘤和9个宫颈肌瘤及18个浆膜下肌瘤术后半年较术前缩小约70%～75%;1例浆膜下、多发子宫肌瘤(小于2cm)穿孔。结论超声在子宫肌瘤射频治疗术前筛查患者、术中定位、术后监测随访等均具有重要作用。
Objective To investigate the value of ultrasound navigation guidance in radioh-equency ablation for treatment of hysteromyoma. Methods The size, position of hysteromyoma were measured by ultrasound before RFA. The radioh-equency needle was guided accurately and observed dynamically by ultrasound during operation and the size and blood flow of hysteromyomas were examined after RFA. Results There were 151 nodes in 120 patients with hysteromyoma ,26 submucous myoma nodes were disappeared, 98 intramural myoma nodes, 4 intramural myoma nodes were discharged from the vagina within one month, The size of 94 intramural myoma nodes, 9 cervical myoma nodes and 18 subserous myoma nodes were shrank by 70% - 75% than before RFA. 1 One patient with multipie subserous myomas （less than 2 cm） was perforated. Conclusions Ultrasound has important value in radiofrequency ablation for treatment of hysteromyoma, including patient screening before operation , myomas navigation during operation and myomas monitoring after operation.
出处
《临床超声医学杂志》
2007年第4期251-252,共2页
Journal of Clinical Ultrasound in Medicine
关键词
超声引导
射频针
子宫肌瘤
Ultrasound navigation
Radiofrequency ablation
Hysteromyoma
