Title : The application prospect of radiofrequency ablation in the treatment of uterine adenomyosis - a new trend in the treatment of adenomyosis
Abstract:
Objective: To compare the efficacy evaluation of three kinds of treatment for adenomyosis and to discuss the application prospect of radiofrequency ablation for adenomyosis.
Method: The clinical data of 180 patients with adenomyosis were retrospectively analyzed, including 75 patients who underwent total hysterectomy (group A), 33 patients who underwent ultrasound-guided radiofofency ablation (group B), and 75 patients who underwent conservative treatment with gonadotropin-releasing hormone (GnRH) (group C).
Results: Hysterectomy was an effective treatment, but left the patient with permanent loss of reproductive function, which may lead to premature ovarian failure. The efficacy of GnRH drugs is not exact, the course of treatment is long, the price is expensive, and the side effect is large, and the relapse after stopping the drug. Radiofrequency ablation has the characteristics of few side effects, short hospitalization time, low treatment cost, no change in ovarian blood supply, no impact on ovarian function, etc. It can be used as the first choice for patients with fertility requirements and desire to preserve uterus.
Conclusion: Ultrasound-guided radiofrequency ablation has a good effect on the treatment of denomyopathy. As a minimally invasive technique that can preserve the uterus, radiofrequency ablation is expected to become a new targeted therapy for the treatment of adenomyopathy to make up for the shortcomings of existing treatments [1], preserve the endocrine function of the uterus and the periodic shedding of the endometrium, maintain the physiological and psychological balance of patients, and prevent reproductive tract infections. It is expected to be a new safe and effective way to treat adenomyosis.
