Clinical study of radiofrequency ablation operation and small incision operation in the treatment of gyneco-logical uterine leiomyoma
10.3760/cma.j.issn.1008-6706.2015.06.005
- VernacularTitle:射频消融术与小切口手术治疗子宫肌瘤的临床对比研究
- Author:
Zhaowen CHEN
- Publication Type:Journal Article
- Keywords:
Radiofrequency ablation operation;
Small incision;
Myoma of uterus;
Clinical effect
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(6):813-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of radiofrequency ablation operation with small inci -sion operation and traditional operation in the treatment of uterine fibroids .Methods 120 patients with myoma of uterus were randomly divided into the control group ,small incision group and radiofrequency ablation operation group , each group had 40 patients.Radiofrequency ablation operation group were given radiofrequency ablation operation , small incision group were treated with abdominal small incision operation (the legth of incision <6 cm),the control group were given the traditional open operation ( edge about 10cm).The operation time,postoperative anal exhaust time,postoperative ambulation time,hospitalization time,bleeding volume and the incidence of complications and recurrence rate of patients in the three groups were compared .Results The operation time,hospitalization time,post-operative anal exhaust time ,postoperative ambulation time and amount of bleeding of the radiofrequency ablation group were (78.62 ±15.45)min,(5.26 ±1.94)d,(20.17 ±2.45)h,(6.17 ±2.45)d,(9.53 ±1.35)mL,small incision group were (90.64 ±18.16)min,(7.76 ±2.59)d,(29.17 ±2.45)h,(10.78 ±2.42)d,(107.94 ±62.37)mL,the control group respectively(115.67 ±17.93)min,(8.65 ±4.14)d,(38.40 ±4.81)h,(19.76 ±3.23)d,(217.62 ± 14.25)mL,radiofrequency ablation group was superior to the small incision group (t=4.32,3.67,2.84,5.37,6.49, all P<0.05)and control group(t=2.69,4.83,4.27,1.25,2.81,all P<0.05).The incidence of complications of radiofrequency ablation group (5%) was lower than that of the small incision group (12.50%) and control group (17.50%),the difference was statistically significant (χ2 =5.36,3.89,all P<0.05).Radiofrequency ablation oper-ation in patients with relapse rate at 1 year and 2 years recurrence rate were higher than that of the small incision group and control group,but had no statistical difference (χ2 =0.37,0.64,all P>0.05).Conclusion The use of radio frequency ablation operation can be safe and effective in the treatment of uterine fibroids ,shorten the operation time and hospitalization time ,reduce the incidence of postoperative complications ,but the recurrence rate is worthy of attention.
