Abnormal uterine bleeding successfully treated via ultrasoundguided microwave ablation of uterine myoma lesions: Three case reports  

作　　者：Toshiyuki Kakinuma Kaoru Kakinuma Rora Okamoto Kaoru Yanagida Michitaka Ohwada NobuhiroTakeshima 

机构地区：[1]Takeshima,Department of Obstetrics and Gynecology,International University of Health and Welfare Hospital,Tochigi 329-2763,Japan

出　　处：《World Journal of Clinical Cases》2024年第5期980-987,共8页世界临床病例杂志

摘　　要：BACKGROUND Microwave endometrial ablation(MEA)is a minimally invasive treatment method for heavy menstrual bleeding.However,additional treatment is often required after recurrence of uterine myomas treated with MEA.Additionally,because this treatment ablates the endometrium,it is not indicated for patients planning to become pregnant.To overcome these issues,we devised a method for ultrasound-guided microwave ablation of uterine myoma feeder vessels.We report three patients successfully treated for heavy menstrual bleeding,secondary to uterine myoma,using our novel method.CASE SUMMARY All patients had a favorable postoperative course,were discharged within 4 h,and experienced no complications.Further,no postoperative recurrence of heavy menstrual bleeding was noted.Our method also reduced the myoma’s maximum diameter.CONCLUSION This method does not ablate the endometrium,suggesting its potential appli-cation in patients planning to become pregnant.

关 键 词：Uterine myoma MICROWAVE Heavy menstrual bleeding DYSMENORRHEA Fertility preservation Case report 

分 类 号：R737.33[医药卫生—肿瘤]