Clinical effect of high intensity focused ultrasound in the treatment of submucosal hysteromyoma
WU Yan1 LIN Si-yao2 ZHOU Su-ting3 SHEN Bai-ru3
1.Department of Obstetrics and Gynecology,People′s Hospital of Dianbai County,Guangdong Province,Dianbai 525400,China;
2.Department of Obstetrics and Gynecology, Chancheng District Central Hospital of Foshan City (Chancheng Hospital Affilated to Guangdong Medical University),Guangdong Province,Foshan 528000,China;
3.Department of Thoracic Surgery, Chancheng District Central Hospital of Foshan City, Guangdong Province, Foshan 528000, China
Abstract：Objective To explore the clinical effect of high intensity focused ultrasound （HIFU） in the treatment of submucosal hysteromyoma.Methods A total of 85 cases of submucous uterine leiomyoma treated in Chancheng District Central Hospital of Foshan City from January 2015 to January 2016 were selected.They were randomly divided into HIFU group (30 cases), hysteroscopy group (30 cases) and control group (25 cases).HIFU group was treated by HIFU,hysteroscopy group was treated by hysteroscopy electrotomy, and control group was treated by laparoscopic minimally invasive surgery.The hospitalization time, menstrual bleeding volume, duration and menstrual rejuvenation time of three groups were compared, and the pregnancy status of each group was observed after 2 years of follow-up.Results The hospitalization time of HIFU group was shorter than that of hysteroscopy group and control group.The duration of menstrual bleeding in HIFU group was shorter than that in hysteroscopy group and control group.The pain score of HIFU group was lower than that of hysteroscopy group and control group, the difference was statistically significant (P<0.05).The incidence of abnormal menstruation in HIFU group was lower than that in hysteroscopy group and control group (P<0.05).The pregnancy complications in HIFU group were significantly lower than those in hysteroscopy group and control group (P<0.05).There was no significant difference in the time of menstruation between the three groups(P＞0.05).Conclusion The HIFU treatment of submucosal uterine leiomyoma has less impact on reproductive function and higher acceptance, and it is worthy of clinical recommendation.
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