滚球电凝法子宫内膜切除术与子宫球囊热消融术的比较。技术与安全方面。
Endometrial ablation by rollerball electrocoagulation compared to uterine balloon thermal ablation. Technical and safety aspects.
作者信息
van Zon-Rabelink Ingrid A A, Vleugels Michel P H, Merkus Hans M W M, de Graaf Ruurd
机构信息
Department of Obstetrics and Gynecology, Medical Spectrum Twente, P.O. Box 50 000, 7500 KA, Enschede, The Netherlands.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2003 Oct 10;110(2):220-3. doi: 10.1016/s0301-2115(03)00160-x.
OBJECTIVE
To compare two methods of endometrial ablation, hysteroscopic rollerball electrocoagulation (RBE) and non-hysteroscopic uterine balloon thermal (UBT) ablation (Thermachoice), regarding intra- and post-operative technical complications and safety aspects.
STUDY DESIGN
A randomised controlled study in a teaching hospital, 139 pre-menopausal women with dysfunctional uterine bleeding proved by a validated menstrual score list were enclosed. Endometrial ablation by a hysteroscopic or non-hysteroscopic method was performed.
RESULTS
Rollerball electrocoagulation carries a significantly higher risk of intra-operative complications compared to uterine balloon thermal ablation and is a significantly more time consuming procedure. Post-operative complication rates in both groups were low, but post-operative analgesics were prescribed significantly more in the uterine balloon group.
CONCLUSION
Endometrial ablation by uterine balloon thermal ablation (Thermachoice) is a safe and simple non-hysteroscopic procedure.
目的
比较两种子宫内膜去除方法，即宫腔镜滚球电凝术（RBE）和非宫腔镜子宫球囊热消融术（UBT，Thermachoice）在术中和术后的技术并发症及安全性方面的差异。
研究设计
在一家教学医院进行的随机对照研究，纳入了139名经有效月经评分表证实为绝经前功能失调性子宫出血的女性。采用宫腔镜或非宫腔镜方法进行子宫内膜去除术。
结果
与子宫球囊热消融术相比，滚球电凝术术中并发症风险显著更高，且手术耗时显著更长。两组术后并发症发生率均较低，但子宫球囊组术后使用镇痛药的情况显著更多。
结论
子宫球囊热消融术（Thermachoice）进行子宫内膜去除是一种安全、简单的非宫腔镜手术。
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