|
|
|
| Efficacy of high-intensity focused ultrasound ablation by ultrasound-guided for treating patients with uterine myomas and the postoperative quality of life of the patients |
| Ningbo Haishu People's Hospital, Ningbo, Zhejiang Province, 315010 |
|
|
|
|
Abstract To explore the clinical efficacy of high-intensity focused ultrasound(HIFU) ablation by ultrasound-guided and laparoscopic myomectomy(LM) for treating patients with uterine myomas of, and to analyze the postoperative quality of life of the patients. Methods: 100 patients with uterine myoma who had fertility needs from January 2021-January 2022 were collected. According to the different methods of surgery, the patients were given treatment of laparoscopic myomectomy in group A and the patients were given treatment of HIFU ablation by ultrasound guided in group B. The curative effect, the perioperative index, the postoperative adverse reactions, the quality of life in 6 months after surgery and the situations of fibroids residue and recurrence of the patients were compared between the two groups. Results: The total effective rate(100.0%) of the patients in group B was significantly higher than that(92.0%) of the patients in group A. The operation time(55.8±12.8min), the hospital stay(1.7±0.8d) and the time to complete recovery(4.9±2.2d) of the patients in the group B were significantly shorter than those(80.4±12.3min, 2.8±0.9d and 7.3±0.6d) of the patients in group A, and the intraoperative blood loss(0) of the patients in the group B was significantly less than that(127.6±22.2ml) of the patients in group A. The incidence of lower abdominal pain(24.0%) of the patients in the group B was significantly lower than that(44.0%) of the patients in group A(all P<0.05). There were no significant differences in the residual rate of myoma in 3 months after surgery(2.0% vs. 4.0%) and the recurrence rate in 6 months after surgery(0 vs. 2.0%) of the patients between the two groups(P>0.05). In the 6th month after surgery, the UFS-QOL score and SF-36 scale score of the patients in the group B were significantly better than those of the patients in group A. The menstrual volume score(92.81±26.79 points) and the incidence of menorrhagia(6.0%) of the patients in the group B were significantly lower than those(114.65±28.61 points and 22.0%) of the patients in group A(all P<0.05). Conclusion: The HIFU ablation by transvaginal ultrasound-guided for treating the patients with uterine myomas had better efficacy and safety compared to those of the conventional laparoscopic myomectomy, and the postoperative quality of life of the patients is higher, which is worth popularizing for the patients with uterine myomas who have fertility needs.
|
|
|
|
|
|
|
|
|
