Paddison Karen
Gynaecology Outpatients Department, Royal London Hospital, London.
Nurs Stand. 2003;18(1):33-7. doi: 10.7748/ns2003.09.18.1.33.c3459.
For many woman who suffer from menorrhagia, treatment would previously have meant hysterectomy. Today there are a number of less invasive surgical options available, such as endometrial ablation, which involves removal of the endometrium and part of the myometrium. This article compares two endometrial ablative techniques--transcervical resection of the endometrium and thermal balloon therapy--with hysterectomy in the management of menorrhagia.
While satisfaction with outcome is generally higher in women undergoing hysterectomy, satisfaction is also high following ablation and the procedure is less invasive and safer. Further research is required, however, to evaluate the long-term efficacy of ablation when compared to hysterectomy.
对于许多患有月经过多的女性来说，以前治疗方法往往意味着子宫切除术。如今有一些侵入性较小的手术选择，比如子宫内膜去除术，该手术涉及切除子宫内膜和部分子宫肌层。本文比较了两种子宫内膜去除术——经宫颈子宫内膜切除术和热球囊疗法——与子宫切除术在治疗月经过多方面的效果。
虽然接受子宫切除术的女性对治疗结果的总体满意度更高，但接受去除术后满意度也较高，而且该手术侵入性较小且更安全。然而，与子宫切除术相比，还需要进一步研究以评估去除术的长期疗效。
