肌瘤栓塞和肌瘤切除术之间的复发和生活质量的比较
Hilal Aktürk1, Mustafa Cengiz Dura1, Berk Gürsoy1
1Obstetrics and Gynaecology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TUR.
Cureus
|July 17, 2023
概括
肌切除术和子宫纤维瘤栓塞显示出类似的纤维瘤复发率. 然而,肌肉切除术为患有子宫纤维瘤的女性提供了更好的生活质量和减少症状.
科学领域:
- 妇科 妇科 妇科 妇科
- 干预性放射学 干预性放射学
- 妇女健康 妇女健康
背景情况:
- 子宫肌瘤在生育年龄的女性中很常见,导致大量出血,降低生活质量和不孕.
- 症状因肌肉瘤的大小,位置和位置而异.
- 治疗选择包括肌肉切除术和子宫纤维瘤栓塞.
研究的目的:
- 为了比较症状性子宫纤维瘤的肌肉切除和子宫纤维瘤栓塞之间的复发率和生活质量.
- 分析治疗方法与患者结果之间的相关性.
主要方法:
- 对139名年龄在20-40岁的女性进行了回顾性横截面研究 (76名肌切除术,63名子宫纤维瘤栓塞),她们有症状的FIGO 3-5型纤维瘤.
- 排除患有并发症,其他妇科问题或特定纤维瘤类型的患者.
- 使用UFS-QOL测量标准对50名患者的治疗后5年评估生活质量.
主要成果:
- 在肌肉切除 (31.6%) 和子宫纤维瘤栓塞 (14.3%) (p > 0.05) 之间,纤维瘤复发率没有统计学上显著的差异.
- 肌肉切除术组报告了显著更好的身体情绪得分和更低的焦虑.
- 在手术后,在两个组中都观察到能量,情绪,意识和性功能的显著改善.
结论:
- 肌切除术显示出与子宫纤维瘤栓塞相比,复发率较低的无意义趋势.
- 肌肉切除术导致更有利的生活质量结果,特别是在减轻症状和焦虑方面.
- 这两种手术都能改善患者的幸福感,但肌肉切除术在生活质量指标上显示出优势.
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