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超声引导高强度聚焦超声与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的生活质量比较。

The Comparison of Life Quality between Ultrasound-Guided High-Intensity Focused Ultrasound and Laparoscopic Myomectomy for the Treatment of Uterine Fibroids.

机构信息

Hebei Medical University, Shijiazhuang 050051, China.

Department of Gynecology, Cangzhou Central Hospital, Cangzhou 061000, China.

出版信息

Comput Math Methods Med. 2022 Aug 5;2022:9604915. doi: 10.1155/2022/9604915. eCollection 2022.

Abstract

OBJECTIVE

This study is aimed at comparing the uterine fibroids patients' postoperative living quality between ultrasound-guided high-intensity focused ultrasound (HIFU) and laparoscopic myomectomy.

MATERIALS AND METHODS

A total of 164 patients were included with uterine fibroids who underwent laparoscopic myomectomy and HIFU in Cangzhou Central Hospital from September 2020 to November 2021. This study divided these objects into HIFU group and laparoscopic group, and both groups were followed up 6 months after surgery. After obtaining the results, Uterine Fibroid Symptom and health-related Quality Of Life questionnaire (UFS-QOL) and 36-Item Short Form Health Survey (SF-36) were performed before and after treatment to assess patient outcome.

RESULTS

After treatments, the living quality in both groups was significantly improved compared with that before surgery, which had statistical significant ( < 0.05). After treatment, the scores of the two scales in HIFU group were significantly better than those in the laparoscopic group ( < 0.05).

CONCLUSION

In comparison with laparoscopic myomectomy, ultrasound-guided high-intensity focused ultrasound could improve the life quality of patients more effectively than traditional laparoscopic myomectomy and was helpful to the recovery and prognosis of uterine fibroids after treatment. The outcomes will provide a reference for clinicians to select a more appropriate treatment for uterine fibroids.

摘要

目的

本研究旨在比较超声引导高强度聚焦超声(HIFU)与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者术后生活质量。

材料与方法

2020 年 9 月至 2021 年 11 月,沧州市中心医院共纳入 164 例接受腹腔镜子宫肌瘤剔除术和 HIFU 治疗的子宫肌瘤患者。本研究将这些患者分为 HIFU 组和腹腔镜组,两组均在手术后随访 6 个月。获得结果后,采用子宫肌瘤症状与健康相关生活质量问卷(UFS-QOL)和 36 项简明健康状况调查问卷(SF-36)对患者治疗前后的结局进行评估。

结果

治疗后,两组患者的生活质量均较术前明显改善,差异有统计学意义( < 0.05)。治疗后,HIFU 组两个量表的评分均明显优于腹腔镜组( < 0.05)。

结论

与腹腔镜子宫肌瘤剔除术相比,超声引导高强度聚焦超声治疗可更有效地改善患者的生活质量,有助于子宫肌瘤治疗后的恢复和预后。这些结果将为临床医生选择更合适的子宫肌瘤治疗方法提供参考。

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