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Analysis On The Efficacy And Mechanism Of Radio-frequency Caloric Ablation

Posted on:2011-08-15Degree:MasterType:Thesis
Country:ChinaCandidate:J LanFull Text:PDF
GTID:2144360305465847Subject:Obstetrics and gynecology
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Objective To evaluate the indications, limitations, and the factors related to recent operative efficacy of radio-frequency caloric ablation therapy (BBT).Methods A total of 62 patients with uterine fibroid were treated with BBT. All the operations were done by one surgeon. We evaluated the correlations of different numbers, type, the length of uterine cavity, uterus position and patient's age with the change of uterine fibroids volume. The uterine fibroids were divided into several groups according to the factors metioned.Results For uterine fibroids of different volume, types, uterine cavity, there is a significant difference before and after the BBT, for the different volume, less than 35 cm3 myomas volume shrink much more than the ones more than 35 cm3, the significant difference exist(P<0.05), significant difference exist indifferent types (P<0.05), submucous myoma has the best recent operative efficacy.No significant difference exist between other factors and the change of uterine fibroids volumeConclusions Our primary results indicate that radio-frequency caloric ablation therapy (BBT) is a less invasive, safe and useful technique. And the experiment provide a guide for clinical doctors and can give a clear predict for its efficacy. Objective To evaluate the indications, limitations, and the factors related to operative efficacy and mechanism of radio-frequency caloric ablation therapy (BBT).Methods A total of 62 patients with uterine fibroids(72 uterine fibroids in total)were treated with BBT. All the operations were done by one surgeon. We investigated the correlations of different diameters, numbers, types, the lengths of uterine cavity, uterus positions, patient's ages with operative duration and blood loss and the pathological changes after radio-frequency caloric ablation therapy. The uterine fibroids were divided into several groups according to the factors we metioned.Results There is a correlation between uterine fibroids size and operative duration (P<0.05), For different types of uterine fibroids there is a correlation with the blood loss,but no correlation with operative duration,There is no correlation with the number, the length of uterine cavity, uterus position and patient's age.Uterus myoma has irreversible necrosis and degeneration after ablation.Conclusions Our primary results indicate that radio-frequency caloric ablation therapy (BBT) is a less invasive, safe and useful technique which though irreversible necrosis and degeneration. And the experiment provide a guide for clinical doctors and can give a clear predict for its efficacy.
Keywords/Search Tags:Uterine fibroid, Recent operative efficacy, Radio-frequency caloric ablation therapy (BBT), Uterine fibroids, Operative duration, Blood loss
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