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目的:通过比较超声消融术与病灶切除术对子宫腺肌症患者临床治疗的疗效观察,意图探究超声消融术和病灶切除术在临床疗效上的异同点,寻找治疗效果更佳的治疗方式。方法:选择2009年6月~2011年12月接受治疗的子宫腺肌症患者,自愿分为超声消融术组(A组)和子宫病灶切除术组(B组);术后对患者进行回访;记录治疗前后痛经的变化和治疗前后月经量的变化。结果:痛经缓解A组有效率为91.2%,B组有效率为89.5%;复发率经6个月后两组均基本稳定,均为8.8%;月经量术后3个月基本稳定不再大幅增加,A组为(55.2±13.7),B组为(56.9±12.4)。两组治疗前后性激素水平比较差异无统计学意义。结论:两组疗效基本相似,但超声消融术以其可重复性和在提高患者生活质量上相对病灶切除术更胜一筹。
OBJECTIVE: To compare the clinical effects of ultrasound ablation and focal resection on the clinical effects of ultrasound ablation and focal resection on patients with adenomyosis and to find out the better treatment. Methods: Patients with adenomyosis who were treated from June 2009 to December 2011 were randomly divided into two groups: ultrasound ablation group (A group) and uterine excision group (B group); patients were followed up after surgery; Changes in dysmenorrhea before and after treatment and changes in menstrual flow before and after treatment were recorded. Results: The rate of dysmenorrhea in group A was 91.2% and in group B 89.5%. The recurrence rate was basically stable in both groups after 6 months, both of which were 8.8%. The three months after menstruation basically remained stable Increased in group A (55.2 ± 13.7) and group B (56.9 ± 12.4). There was no significant difference in sex hormone levels between the two groups before and after treatment. CONCLUSIONS: The efficacy of the two groups is similar, but ultrasound ablation is superior to lesion resection in terms of its reproducibility and quality of life.