微波子宫内膜去除术治疗月经过多的临床应用  

Clinical application of microwave endometrial ablation for menorrhagia

作　　者：张霞[1] 王惠兰[2] 陈素琴[2] 杨玉风[2] 孙秀芝[2] 

机构地区：[1]河北医科大学第一医院妇产科,石家庄050000 [2]河北医科大学第二医院妇产科,石家庄050000

出　　处：《中国微创外科杂志》2004年第2期119-120,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　评价微波子宫内膜去除术 (microwaveandometrialablation ,MEA)治疗月经过多的临床疗效、安全性。　方法　 5 7例绝经前无生育要求的良性疾患所致月经过多患者行MEA治疗。　结果　手术时间 119～ 4 2 0s,平均 2 96 7s。半年闭经率为 5 6 1% (32 / 5 7) ,经期由术前的 (13 5± 8 1)d降到术后的 (2 3± 4 1)d(t=12 6 88,P <0 0 1) ;血红蛋白术前 (84 8± 2 1 9)g/L ,术后 3个月升至 (115 1± 19 1)g/L(t=- 10 331,P <0 0 1)。　结论　MEA治疗月经过多操作简单 ,无须麻醉 ,疗效显著 ,并发症少 ,尤其对伴有严重内科疾病者能替代传统的子宫切除术。Objective To evaluate the efficacy and reliability of microwave endometrial ablation (MEA) for menorrhagia. Methods MEA was adopted in 57 premenopausal patients with menorrhagia caused by benign lesions. All the patients did not desire pregnancy. Results The operation time was 119 s～420 s (mean, 296 7 s). The six-month amenorrhea rate was 56 1% (32/57) . The mean length of menstrual period decreased from 13 5 d ± 8 1 d preoperatively to 2 3 d±4 1 d postoperatively ( t =12 688, P <0 01). The hemachrome elevated from 84 8 g/L ± 21 9 g/L preoperatively to 115 1 g/L±19 1 g/L 3 months postoperatively ( t =-10 331, P <0 01). Conclusions MEA in the treatment of menorrhagia is characterized by simplicity of its performance, no need for anesthesia, marked effectiveness and fewer complications, holding especially for patients complicated with severe diseases.

关 键 词：微波子宫内膜去除术 月经过多 术前内膜薄化 刮宫 

分 类 号：R713[医药卫生—妇产科学]