Hopkins Matthew R, Creedon Douglas J, El-Nashar Sherif A, Brown Douglas L, Good Andrew E, Famuyide Abimbola O
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Minim Invasive Gynecol. 2007 Jul-Aug;14(4):494-501. doi: 10.1016/j.jmig.2007.01.014.
To describe the feasibility of performing Essure hysteroscopic sterilization immediately after NovaSure global endometrial ablation (GEA).
Descriptive feasibility study (Canadian Task Force classification III).
Midwestern United States academic medical center.
Twenty-five women (aged 35-49 years) with menorrhagia who elected GEA treatment and requested concurrent permanent sterilization.
NovaSure GEA followed immediately by Essure hysteroscopic sterilization. Patients returned 3 months after the procedure for hysterosalpingography (HSG) to document tubal occlusion.
The inserts were placed successfully in all 25 patients; 21 returned for 3-month follow-up HSG, as recommended. Bilateral tubal occlusion was documented at 3 months in 19 patients (90%) and unilateral occlusion in 2 patients. Six-month postprocedural HSG in these 2 patients documented bilateral tubal occlusion. Hysterosalpingography was not performed in 4 patients. In all 21 patients with appropriate follow-up, complete occlusion was documented, and the ability to perform or interpret HSG was not affected by endometrial ablation.
Essure hysteroscopic sterilization can be safely performed after NovaSure GEA. Intrauterine synechiae do not appear to adversely affect the ability to perform HSG at 3 months or to document tubal occlusion.
描述在诺瓦Sure全球子宫内膜切除术（GEA）后立即进行依苏尔宫腔镜绝育术的可行性。
描述性可行性研究（加拿大工作组分类III级）。
美国中西部学术医疗中心。
25名年龄在35 - 49岁之间、患有月经过多且选择GEA治疗并要求同时进行永久性绝育的女性。
诺瓦Sure GEA术后立即进行依苏尔宫腔镜绝育术。患者在术后3个月返回进行子宫输卵管造影（HSG）以记录输卵管闭塞情况。
所有25例患者均成功置入插入物；按照建议，21例患者返回进行3个月的随访HSG。19例患者（90%）在3个月时记录到双侧输卵管闭塞，2例患者为单侧闭塞。这2例患者在术后6个月的HSG记录到双侧输卵管闭塞。4例患者未进行子宫输卵管造影。在所有21例进行了适当随访的患者中，均记录到完全闭塞，且子宫内膜切除术未影响进行或解读HSG的能力。
在诺瓦Sure GEA术后可安全地进行依苏尔宫腔镜绝育术。子宫内粘连似乎不会对3个月时进行HSG或记录输卵管闭塞的能力产生不利影响。
