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微波子宫内膜消融术与妊娠:病例系列

Microwave endometrial ablation and pregnancies: case series.

作者信息

Alabi Christian

机构信息

Burnley General Hospital, East Lancashire Hospital NHS trust, Burnley, UK.

出版信息

Arch Gynecol Obstet. 2009 Jun;279(6):901-3. doi: 10.1007/s00404-008-0738-9. Epub 2008 Oct 4.

DOI:10.1007/s00404-008-0738-9
PMID:18836736
Abstract

Microwave endometrial ablation (MEA) is the most commonly used new generation ablative technique in the UK. It is one of the new generation techniques recommended for management of menorrhagia by NICE. They are favoured over Tran cervical resection or ablation because of the ease of use and equitable effectiveness. Ablative technique usage has increase over the last few years with a reduction in hysterectomy performed for menorrhagia (RCOG). It is offered to women who have completed their family. Adverse complication has been described in pregnancy and endometrial resection and ablation, but there is limited evidence about newer techniques and pregnancy outcome. We found four pregnancies in three women. Three pregnancies were terminated at less than 12 weeks gestation. One pregnancy leads to a successful live birth with no complication in the pregnancy.

摘要

微波子宫内膜消融术(MEA)是英国最常用的新一代消融技术。它是英国国家卫生与临床优化研究所(NICE)推荐用于治疗月经过多的新一代技术之一。由于其使用方便且效果相当,它们比经宫颈切除术或消融术更受青睐。在过去几年中,消融技术的使用有所增加,因月经过多而进行子宫切除术的情况有所减少(英国皇家妇产科医师学院)。该技术适用于已完成生育的女性。妊娠以及子宫内膜切除和消融术中均有不良并发症的报道,但关于新技术与妊娠结局的证据有限。我们发现三名女性中有四次妊娠。三次妊娠在妊娠12周前终止。一次妊娠成功分娩,孕期无并发症。

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