摘要
目的分析术中实时超声在子宫肌瘤剔除术中的临床意义,为临床子宫肌瘤的治疗提供参考依据。方法随机选取2010年3月至2013年5月收治186例子宫肌瘤患者作为观察对象,根据是否应用术中实时超声随机分为观察组95例(应用术中实时超声)和对照组91例(未应用术中实时超声),回顾性分析两组患者的治疗情况。结果观察组患者术中实时超声显示宫腔内部回声欠均匀,子宫内低回声结节,边界清晰,小肌瘤检出率为37.9%;两组手术时间、术中出血量、术后排气时间、住院时间、住院总费用及不良反应发生率比较,均差异无统计学意义(P>0.05);观察组复发率为3.2%,对照组复发率为16.5%,两组比较差异有统计学意义(P<0.05)。结论在子宫肌瘤剔除术中应用实时超声检查能够降低肌瘤核的残留概率,降低术后子宫肌瘤复发风险,值得临床深入研究。
Objective To analyze the clinical significance of intraoperative real-time ultrasound（RTU） exami-nation for hysteromyoma excision .Methods A total of 186 patients with hysteromyoma ,treated in this hospital from March 2010 to May 2013 ,were enrolled and divided into observation group（n=95） ,receiving intraoperative RTU ex-amination ,and control group（n=91） ,not receiving intraoperative RTU examination .Therapeutic effects of the two groups were compared .Results UTR examination indicated that the echo of internal uterine cavity was uneven ,there were hypoechoic nodules in utero ,and the boundaries were clear .The detection rate of small hysteromyoma was 37 .9% in observation group .There were no statistical differences of surgery time ,intraoperative blood loss ,exhaust-ing time after surgery ,length of hospitalization ,total cost and incidence of adverse reactions between the two groups （P〉0 .05） .The relapse rate was 3 .2% in observation group ,which was significantly different with the 16 .5% in control group（P〈0 .05） .Conclusion The intraoperative RTU examination for hysteromyoma excision could reduce the risk of residual myoma nuclear and postoperative recurrence of hysteromyoma ,which might be worth of further research .
出处
《检验医学与临床》
CAS
2014年第9期1199-1201,共3页
Laboratory Medicine and Clinic
关键词
术中实时超声
子宫肌瘤剔除术
子宫肌瘤
intraoperative real-time ultrasound
hysteromyoma excision
hysteromyoma
