Quemere M P, Cravello L, Roger V, d'Ercole C, Blanc B
Service de Gynécologie-Obstétrique B, Hôpital de la Conception, Marseille.
Contracept Fertil Sex. 1999 May;27(5):357-63.
The authors report the results of a retrospective series concerning 121 patients who presented abnormal uterine bleeding resistant to progestogen therapy. These patients were adenomyosis carriers and who underwent loop endometrial ablation. Over a maximum period of 8 years, the success rate was 56% following one endometrial resection and 67% following one or two resections. The study recorded a repeat resection level of 11%. Seventeen hysterectomies (19%) were performed because of the recurrence of abnormal uterine bleeding. These results are comparable to those observed in endometrial ablation performed for menorrhagia, all benign etiology included. Adenomyosis does not appear to be a factor in the failure of endometrial ablation, except in the case of deep adenomyosis which is difficult to diagnose pre-operatively.
作者报告了一项回顾性研究结果，该研究涉及121例对孕激素治疗耐药的异常子宫出血患者。这些患者均患有子宫腺肌病，并接受了环形子宫内膜切除术。在最长8年的时间里，一次子宫内膜切除术后的成功率为56%，一至两次切除术后的成功率为67%。该研究记录的再次切除率为11%。因异常子宫出血复发而进行了17例子宫切除术（19%）。这些结果与因月经过多（包括所有良性病因）而进行的子宫内膜切除术的观察结果相当。子宫腺肌病似乎不是子宫内膜切除失败的因素，除非是术前难以诊断的深部子宫腺肌病。
