Api Murat, Api Olus
Department of Obstetrics and Gynecology, Adana Numune Education and Research and Hospital, Adana, Turkey.
J Pak Med Assoc. 2012 Mar;62(3):284-6.
Endometrial ablation is one of the most effective methods for treatment of dysfunctional uterine bleeding (DUB). Balloon devices with circulating hot water inside or electrodes on the outer surface and radiofrequency-induced thermal destructors are the most recently introduced available tools for endometrial ablation. All of these methods are effective and simple but expensive technologies. The aim of this brief report is to evaluate the effectiveness and safety of a new, simple and money-saving procedure, namely foley catheter balloon endometrial ablation (FCBEA), for treatment of DUB. We present our experience with FCBEA performed on 3 women with severe meno-metrorrhagia unresponsive to medical therapy. There were no procedure-related complications with achievement of complete amenorrhea for a 19 months follow-up period. Although FCBA has yielded encouraging results, there exists a need for further investigation and validation on larger groups, before its universal application.
子宫内膜消融术是治疗功能失调性子宫出血（DUB）最有效的方法之一。内部有循环热水或外表面有电极的球囊装置以及射频诱导热破坏器是最近推出的用于子宫内膜消融的可用工具。所有这些方法都有效且操作简单，但技术成本高昂。本简要报告的目的是评估一种新的、简单且省钱的手术方法，即 Foley 导管球囊子宫内膜消融术（FCBEA）治疗 DUB 的有效性和安全性。我们介绍了对 3 名经药物治疗无效的严重月经过多患者进行 FCBEA 的经验。在 19 个月的随访期内，未出现与手术相关的并发症，且实现了完全闭经。尽管 FCBA 已取得令人鼓舞的结果，但在广泛应用之前，仍需要对更大规模的人群进行进一步研究和验证。
