자궁근종에 대한 고주파 자궁근종 용해술의 임상 효과

Abstract

Objective : To evaluate the clinical effects of radiofrequency(RF) myolysis on uterine myomas. Methods : 29 women with symptomatic uterine myomas underwent RF myolysis at Chosun University hospital between January 2006 and September 2006. Preoperatively, by using ultrasonography, size, numbers, location and volume of uterine myomas were checked and hemoglobin and subjective symptoms were checked. 3 momths and 6 months after the procedure, the size and volume of uterine myomas were measured by same examiner. And also the symptoms caused by uterine myomas were observed. Results : The average age of the patients was 43.6 years. The average maximal diameter of uterine myoma was 6.2±2.3cm, the average volume was 90.7±71.9㎤, and the average hemoglobin was 11.4±1.9mg/dL. 3 months and 6 months after the procedure, the average maximal diameters of the uterine myomas were decresed by 4.9±2.0cm, 4.8±1.9cm, and the average volume was decreased by 41.0±44.7%, 45.1±25.8% respectively, and the average hemoglobin was 11.6mg/dL and 12.7mg/dL. After 3 months of the procedure, they had improvement of the symptoms(dysmenorrhea, hypermenorrhea) respectively. Conclusion : RF myolysis had effects on reduction of the size of uterine myomas and improvement of the symptoms. RF myolysis would be a useful alternative treatment of uterine myoma with preserving the uterus.