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微波子宫内膜切除术与传统手术治疗月经过多的对比研究。

A comparative study between microwave endometrial ablation and conventional surgical procedures for treatment of menorrhagia.

作者信息

Nakayama K, Yeasmin S, Katagiri A, Rahman M T, Rahman M, Ishikawa M, Iida K, Nakayama N, Aoki S, Miyazaki K

机构信息

Department of Obstetrics and Gynecology, Shimane University School of Medicine, Shimane, Japan.

出版信息

Clin Exp Obstet Gynecol. 2011;38(1):33-7.

PMID:21485722
Abstract

OBJECTIVE

To compare microwave endometrial ablation (MEA) using a new curved applicator with conventional surgical procedures in 26 patients with menorrhagia.

STUDY DESIGN

Ten patients received MEA and 16 patients received conventional surgical procedures. Using a visual analog scale (VAS). MEA patients rated their menorrhagia, dysmenorrhea, and feelings of satisfaction from the procedure. The patients' intraoperative blood loss, operating time, and length of hospital stay were compared.

RESULTS

Following MEA, the VAS scores were significantly decreased in the MEA patients for menorrhagia (p < 0.0001) and dysmenorrhea (p = 0.0002). The average VAS score regarding feelings of satisfaction for MEA was 8.9 (full score = 10). Mean blood loss, operating time, and mean length of hospital stay were significantly decreased in the MEA group compared to the conventional surgical procedure group (p < 0.0001).

CONCLUSION

MEA successfully controlled menorrhagia and achieved a high rate of satisfaction among patients.

摘要

目的

比较使用新型弯曲施源器的微波子宫内膜消融术(MEA)与传统外科手术治疗26例月经过多患者的效果。

研究设计

10例患者接受MEA,16例患者接受传统外科手术。采用视觉模拟评分法(VAS),MEA患者对其月经过多、痛经及对手术的满意度进行评分。比较患者的术中失血量、手术时间和住院时间。

结果

MEA术后,MEA患者的月经过多(p < 0.0001)和痛经(p = 0.0002)的VAS评分显著降低。MEA患者满意度的平均VAS评分为8.9(满分 = 10)。与传统外科手术组相比,MEA组的平均失血量、手术时间和平均住院时间显著减少(p < 0.0001)。

结论

MEA成功控制了月经过多,并在患者中获得了较高的满意度。

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引用本文的文献

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Long-term outcomes of microwave endometrial ablation for treatment of patients with menorrhagia: A retrospective cohort study.微波子宫内膜切除术治疗月经过多患者的长期疗效:一项回顾性队列研究。
Oncol Lett. 2017 Dec;14(6):7783-7790. doi: 10.3892/ol.2017.7208. Epub 2017 Oct 18.