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| Effect of laparoscopic microwave ablation guided by ultrasound for treating adenomyosis of patients |
| 1.The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, 450014；2 Xiaolan People's Hospital of Zhongshan, Guangdong Province |
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Abstract To analyze the safety and clinical efficacy of laparoscopic microwave ablation guided by ultrasound for treating adenomyosis of patients. Methods: The clinical data of the patients with adenomyosis treated in hospital from January 2019 to December 2020 were collected retrospectively. These patients were divided into two groups according to the different treatment methods. 57 cases in the control group underwent laparoscopic adenomyotomy and 30 cases in the observation group underwent laparoscopic microwave ablation guided by ultrasound. The duration of hospital stay, the active time after operation, the operation time, the amount of interoperation bleeding, the postoperative complications, the degree of dysmenorrhea before operation and 1 month, 6 months and 12 months after operation, the amount of menstruation, the reduction of uterine volume, and recurrence of adenomyosis of the patients were compared between the two groups. Results: The improvements of dysmenorrhea and menstruation of the patients in the observation group in 1, 6, and 12 months after treatment were significantly better than those of the patients in the control group (P＜0.05). 1 month after surgery, the uterine volume (215.51±53.71 cm3) of the patients in the observation group was significantly bigger than that (169.91±29.04 cm3) of the patients in the control group (P＜0.05). There was no significant difference in the uterine volume of the patients in 6 months after surgery between the two groups (P>0.05). The uterine volume (127.07±20.65) of the patients in the observation group in 12 months after surgery was significantly lower than that (145.47±23.69 cm3) of the patients in the control group (P＜0.05). The operation time (72.5min), the intraoperative blood loss (12.5ml), the postoperative activity time (3.5h), and the duration of hospital stay (3.3±1.2d) of the patients in the observation group were all significantly lower than those (172.3min, 156.1ml, 21.5h, and 6.3±1.5d) of the patients in the control group (P＜0.05). There were 2 cases with postoperative pain in the treatment area in the observation group, and the pain was relieved after the application of painkillers. There was 1 case with postoperative intestinal obstruction in the control group, and was relieved after conservative treatment. There was no any case with recurrence of adenomyosis in 12 months after operation in both groups. Conclusion: The laparoscopic microwave ablation guided by ultrasound for treating adenomyosis of the patients is superior to traditional laparoscopic adenomyotomy in improving their clinical symptoms. In addition, microwave ablation has less bleeding, shorter operation time, lower postoperative complication rate, faster recovery, with safety and effectiveness.
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