【摘要】 目的 分析子宫腺肌瘤治疗中采用彩色多普勒超声引导下射频消融术的效果。方法 选取100例子宫腺肌瘤患者，采取红蓝球抽签法分为观察组与对照组，各50例。对照组采用传统开腹手术治疗，观察组采用彩色多普勒超声引导下射频消融术治疗。比较两组临床疗效。结果 观察组总有效率为94.0%，高于对照组的76.0%，差异有统计学意义(P<0.05)。手术前，两组腺肌瘤体积比较，差异无统计学意义(P>0.05)；手术后3个月、6个月，观察组腺肌瘤体积均明显小于对照组，差异有统计学意义(P<0.05)。治疗前，两组子宫动脉阻力指数(RI)比较，差异无统计学意义(P>0.05)；治疗后即刻、治疗后1个月，观察组子宫动脉RI值变化情况明显优于对照组，差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论 子宫腺肌瘤应用彩色多普勒超声引导下射频消融术取得疗效显著，可促进子宫腺肌瘤体积缩小，且手术安全性更高，值得临床推广。更多还原

【Abstract】 Objective To analyze the effect of radiofrequency ablation guided by color doppler ultrasound in the treatment of adenomyoma of uterus. Methods 100 patients with adenomyoma were selected and divided into observation group and control group by red and blue ball drawing method, with 50 cases in each group. The control group was treated with traditional open surgery,and the observation group was treated with radiofrequency ablation guided by color doppler ultrasound. The clinical efficacy, the change of adenomyoma volume before and after operation, the change of uterine artery RI value before and after treatment, and the postoperative adverse reactions were compared between the two groups. Results The total effective rate of the observation group was 94.0%, higher than that of the control group(76.0%), and the difference was statistically significant(P<0.05). Before operation,there was no significant difference in the volume of adenomyoma between the two groups(P>0.05). At 3 and 6 months after operation, the adenomyoma volume in the observation group was significantly smaller than that in the control group, with statistical significance(P<0.05). Before treatment, there was no significant difference in uterine artery resistance index(RI) between the two groups(P>0.05). Immediately after treatment and 1 month after treatment, the change of uterine artery RI value in the observation group was significantly better than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion Radiofrequency ablation guided by color doppler ultrasound for the treatment of adenomyoma has achieved significant effect, which can promote the reduction of the size of adenomyoma and has higher surgical safety, which is worthy of clinical promotion.更多还原