治疗异常子宫出血的新方法——子宫内膜热疗术  

Endometria Hydrothermablation -A New Treatment for Abnormal Uterine Bleeding

作　　者：吴乾渝[1] 洪孚卿[1] 王莉萍[1] 陈子君[1] 焦菊芳[1] 

机构地区：[1]同济大学附属东方医院妇产科,上海200120

出　　处：《同济大学学报（医学版）》2002年第2期139-140,共2页Journal of Tongji University(Medical Science)

摘　　要：目的　探讨子宫内膜切除术尤其是子宫内膜热疗术 (endometriabhdrothermablation ,HTA)在临床治疗异常子宫出血的可行性、安全性和有效性 ,以及围术期管理对策。方法　对激光、微波、HTA等子宫内膜切除术治疗异常子宫出血的临床应用进行比对 ,观察其临床使用情况、围术期处理的疗效。结果　HTA治疗 2 0例异常子宫出血的患者 ,平均随访 6个月 ,月经量较治疗前减少 1/ 2或以上者 18例 ,有效率 90 % (18/ 2 0 ) ,2例因经量减少不明显进行了第二次HTA。无严重的术中及术后并发症。结论　子宫内膜切除术为治疗异常子宫出血的有效方法之一 ,在几种方法中以子宫内膜热疗术最为安全、简便、有效 ,较少手术并发症。而利用激光和微波破坏子宫内膜的治疗中则相对技术要求高 ,有较高的术中和术后并发症如子宫穿孔等。Objective To assess the efficacy, safety and tolerability of hydrothermablation for endometrectomy in the treatment of abnormal uterine bleeding.Methods 20 abnormal uterine bleeding women with recurring mennorrhagia were treated with Hydro Therm Ablation (HTA) imported from USA and analyzed.Results During follow up of average 6 months, 18 had reduction of 50% or over or cessation of pathologic blood flow. Total effective rate was 90% (18/20) including 2 women who underwent second HTA due to continuous menorrhagia. No short or long term adverse clinical effects occurred in patients.Conclusion Hydrothermablation for endometrectomy was a safe and effective method for treating resistant, recurring hypermenorrhea of abnormal uterine bleeding. Other endometrectomy such as using laser or rollball endometrial ablation requires more richer experience and in addition, they usually have higher adverse clinical effects.

关 键 词：子宫内膜热疗术 异常子宫出血 治疗 

分 类 号：R711.520.5[医药卫生—妇产科学]