国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (3): 256-259.

• 综述 • 上一篇    下一篇

射频消融治疗子宫肌瘤的临床应用

芦婧，袁玉卡，姜晓晶   

  1. 116027 辽宁省大连市，大连医科大学附属第二医院（芦婧，姜晓晶）；大连市阜康综合门诊部（袁玉卡）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-15 发布日期:2014-06-15

Application of Radiofrequency Ablation in the Treatment of Uterine Fibroids

LU Jing，YUAN Yu-qia，JIANG Xiao-jing   

  1. The Second Hospital Affiliated to Dalian Medical University，Dalian 116027，Liaoning Province，China（LU Jing，JIANG Xiao-jing）；Dalian Fukang Polyclinic，Dalian 116011，Liaoning Province，China（YUAN Yu-qia）
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-15 Online:2014-06-15

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摘要： 随着近年来医疗水平的提高及妇科常规体检的普及，子宫肌瘤发病率居高不下。目前子宫肌瘤的治疗有多种方法，其中射频消融是一种临床显著有效的微创治疗手段。其通过破坏肌瘤组织缩小肌瘤体积，同时不伤害其他组织及器官，作为一种简便、安全、有效的治疗方式正逐渐受到临床医生的认可。现从原理、适应证及禁忌证、术中麻醉及手术方法、并发症及其处理、疗效评价、术后病理变化及实用性等方面对射频消融治疗子宫肌瘤作一简要概述。

关键词: 导管消融术, 肌瘤, 平滑肌瘤, 子宫肿瘤, 外科手术, 微创性

Abstract: As the medical level is increasing and the popularity of gynecological routine examination for the women，the incidence of uterine fibroids becomes higher and higher. There are many ways to treat the uterine fibroids. The radiofrequency thermal ablation （RFA） is a minimally invasive procedure which provides significant clinical improvement in myoma volume reduction by destroying the myoma tissues without harming overlying organs or tissues. Now it is gradually recognized by clinicians as a simple，safe and effective treatment. This article shows a brief overview from the principle，indication and contraindication，method of intraoperative anesthesia and surgery，complications and treatment ways，the evaluation of the curative effect，the changes of the postoperative pathology and practicability of RFA of uterine fibroids.

Key words: Catheter ablation, Myoma, Leiomyoma, Uterine neoplasms, Surgical procedures, minimally invasive