Objective: To compare the effects between uterine fibroid ablation of high intensity focused ultrasound (HIFU) and laparoscopic myomectomy for gravidity of postoperative patients. Methods: 120 patients with uterine fibroid were divided into ultrasound ablation group (60 cases) and laparoscopy group (60 cases) as random number table. And the patients of ultrasound ablation group were treated by using HIFU and the patients of laparoscopy group received the treatment of laparoscopic myomectomy. The operative situation, curative effect and post-operative situation of gravidity of the two groups were compared and researched. Results: The effective rate of laparoscopy group was significantly higher than that of ultrasound ablation group (x2=3.56, P<0.05), while operation time, bleeding volume and postoperative recovery time of laparoscopy group were significantly higher than that of ultrasound ablation group, respectively (t=1.560, t=1.975, t=1.896, P<0.05). On the other hand, the postoperative gravidity rate of ultrasound ablation group was significantly higher than that of laparoscopy group (x2=3.65, P<0.05). Conclusion:Although the effective rate of HIFU for ablation of uterine fibroids is lower than that of laparoscopic myomectomy, its recovery time is shorter and its postoperative gravidity rate is higher than that of laparoscopic myomectomy. Therefore, it has popularized worthy in clinical practice.%目的:比较高强度聚焦超声子宫肌瘤消融术与腹腔镜子宫肌瘤剔除术两种方法对术后患者妊娠情况的影响.方法:选取120例确诊为子宫肌瘤患者,以就诊时间的先后编号,采用电脑软件随机将其分为超声消融术组和腹腔镜手术组,每组60例.超声消融术组患者采用高强度聚焦超声子宫肌瘤消融术治疗,腹腔镜手术组患者给予腹腔镜子宫肌瘤剔除治疗.对比两组患者的手术情况、疗效及术后妊娠情况.结果:腹腔镜手术组的治疗有效率高于超声消融术组,其差异有统计学意义(x2=3.56,P<0.05),但手术时间长,失血量多,恢复时间明显增长,两组治疗手术时长、失血量和恢复时间比较差异有统计学意义(t=1.560,t=1.975,t=1.896;P<0.05).而超声消融术组的术后妊娠率明显高于腹腔镜手术组,两组比较差异有统计学意义(x2=3.65,P<0.05).结论:高强度聚焦超声子宫肌瘤消融术虽然在手术治疗有效率上低于腹腔镜子宫肌瘤剔除手术,但其恢复时间短,且术后妊娠率较高,具有一定的临床应用价值.
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