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Minimal invasive treatment of uterine myoma: Laparoscopic radiofrequency myolysis / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology ; : 1212-1218, 2006.
Artigo em Coreano | WPRIM | ID: wpr-46649
ABSTRACT

OBJECTIVE:

To evaluate the feasibility, efficacy and safety of minimal invasive treatment of uterine myoma with laparoscopic radiofrequency (RF) myolysis.

METHODS:

69 patients with symptomatic uterine myomas underwent laparoscopy assisted RF myolysis. The accurate targeting and thermal intensity during the procedure were guided by trans-vaginal ultrasound. The measurement of myoma volume and UFS-QOL (Uterine fibroid symptom-quality of life) were obtained once at preoperative period and four times at postoperative period of one week, 1, 3, 6 months. Wilcoxon signed rank test (SPSS 7.5) was used to compare the volume changes of myoma. A significant level of p<0.05 was considered.

RESULTS:

107 fibroids were treated with RF myolysis. The mean duration of RF procedure was 15.2+/-18.5 minutes. Mean preoperative volume of treated fibroids was 75.7 cm3 (range 8.2-367.7) and the mean volume decrease was 12.1+/-10.2%, 32.3+/-40.2%, 48.3+/-33.6%, 53.5+/-18.1% at one week, 1, 3, 6 months. Fifty eight patients had improved symptom severity with UFS-QOL score symptom severity score 30.8+/-8.2 (mean+/-S.D.), quality of life score 20.3+/-9.2 after RF myolysis. There were 3 cases of RF heat related complication.

CONCLUSION:

Early experience of laparoscopy assisted RF myolysis in the treatment of uterine fibroids shows that the method is safe and effective under the guidance of trans-vaginal sonification.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Qualidade de Vida / Ultrassonografia / Laparoscopia / Período Pré-Operatório / Temperatura Alta / Leiomioma / Mioma Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica Limite: Humanos Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Qualidade de Vida / Ultrassonografia / Laparoscopia / Período Pré-Operatório / Temperatura Alta / Leiomioma / Mioma Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica Limite: Humanos Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2006 Tipo de documento: Artigo