超声引导下射频消融治疗子宫肌瘤的临床应用进展

吴巧至; 郭遂群

doi:10.12122/j.issn.1674-4500.2023.02.36

超声引导下射频消融治疗子宫肌瘤的临床应用进展

doi: 10.12122/j.issn.1674-4500.2023.02.36

吴巧至,
郭遂群^,

南方医科大学附属第三医院妇产科，广东广州 510630

详细信息

作者简介:
吴巧至，在读硕士研究生，E-mail: 2724691073@qq.com

通讯作者:
郭遂群，主任医师，教授，博士生导师，E-mail: guosq2006@126.com

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- 被引次数: 0
出版历程
- 收稿日期: 2022-12-16
- 网络出版日期: 2023-04-28
- 刊出日期: 2023-03-20

Clinical application and progress of ultrasound-guided radiofrequency ablation in the treatment of uterine fibroids

WU Qiaozhi,
GUO Suiqun^,

Department of Obstetrics and Gynecology, the Third Affiliated Hospital, Southern Medical University, Guangzhou 510630, China

摘要

摘要: 目子宫肌瘤是女性生殖器最常见的良性肿瘤，多发于30~50岁的育龄妇女。子宫肌瘤的传统治疗方法是手术切除，包括子宫切除术和肌瘤剔除术，但手术创伤大、恢复期长。随着微创医疗技术的发展和女性认知的提高，越来越多的子宫肌瘤患者选择疗效好且保留子宫的微创治疗方法。射频消融是常用的治疗子宫肌瘤的微创方法，其安全性和有效性已被临床证实，术后患者症状改善，生活质量提高，复发率低。本文依据穿刺路径和超声引导方式不同分将其归纳为经腹部超声引导、腹腔镜术中超声引导、经阴道超声引导和经宫颈宫腔内超声引导4种射频消融方式，并从原理、方法、消融途径、有效性、安全性及对生育功能影响等方面对4种子宫肌瘤消融方法进行简要综述。
- 子宫肌瘤 /
- 射频消融术 /
- 超声引导 /
- 腹腔镜 /
- 经阴道 /
- 经宫颈
Abstract: Uterine fibroids are the most common benign tumors of female genitalia, most of which occurred in of 30 to 50 years old childbearing-aged women. The traditional treatment of uterine fibroids is surgical resection, including hysterectomy and myomectomy. However, the surgical trauma is severe and costs a long term of recovery. With the development of minimally invasive medical technology and the improvement of women's cognition, more and more patients diagnosed with uterine fibroids choose to receive minimally invasive treatment with the hope of better curative effect and the preservation of fertility. Radiofrequency ablation is one of the most commonly used minimally invasive methods for the treatments of uterine fibroids which safety and effectiveness has been clinically proven. After operation, the symptoms of patients are relieved, the life quality is improved, and the tumor recurrence rate is low. In this paper, radiofrequency ablation methods of Uterine fibroids are classified into four methods by both puncture paths and ultrasound-guided methods: transabdominal ultrasound-guided, laparoscopic ultrasound-guided, transvaginal ultrasound-guided and transcervical ultrasound-guided. In addition, these four methods are briefly reviewed from principle, method, ablation path, effectiveness, safety and influence on fertility ability.
- uterine fibroids /
- radiofrequency ablation /
- ultrasound-guided /
- laparoscopic /
- transvaginal /
- transcervical

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