Penninx Josien P M, Mol Ben Willem, Bongers Marlies Y
Department of Obstetrics and Gynecology, Máxima Medical Centre, P.O. Box 777, 5500 MB, Veldhoven, The Netherlands.
J Reprod Med. 2009 Oct;54(10):617-20.
To evaluate the safety, feasibility and efficacy of endometrial ablation under local anesthesia.
A prospective cohort study was performed at the gynecology department of a large teaching hospital. Women with dysfunctional uterine bleeding were included to undergo NovaSure endometrial ablation with paracervical block. We measured the acceptability, pain score (visual analog score scale), amenorrhea, and patients' satisfaction after the procedure.
We treated 33 patients. No complications occurred during the procedure or postoperatively. Of the 33 women, 28 found treatment with NovaSure endometrial ablation under local anesthetics acceptable. After 24 hours, 23 of 33 women reported to be pain free, whereas 10 women still had mild pain. Twenty women developed amenorrhea (60.6%) and 13 women hypomenorrhea (39.4%). All women were satisfied with the treatment result and would recommend it to a friend.
NovaSure endometrial ablation performed under local anesthesia is a safe, feasible and efficacious procedure.
评估局部麻醉下子宫内膜切除术的安全性、可行性及疗效。
在一家大型教学医院的妇科进行了一项前瞻性队列研究。纳入有功能失调性子宫出血的女性，采用宫颈旁阻滞进行NovaSure子宫内膜切除术。我们在术后测量了可接受性、疼痛评分（视觉模拟评分量表）、闭经情况及患者满意度。
我们治疗了33例患者。术中及术后均未发生并发症。在这33名女性中，28名认为局部麻醉下的NovaSure子宫内膜切除术治疗是可接受的。24小时后，33名女性中有23名报告无痛，而10名女性仍有轻度疼痛。20名女性出现闭经（60.6%），13名女性出现月经过少（39.4%）。所有女性对治疗结果满意，并会向朋友推荐。
局部麻醉下进行的NovaSure子宫内膜切除术是一种安全、可行且有效的手术。
