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本文引用的文献

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Morphologic and Histologic Changes in Hysterectomies After NovaSure Ablation: A Retrospective Chart Review.
J Minim Invasive Gynecol. 2015 Nov-Dec;22(6S):S187-S188. doi: 10.1016/j.jmig.2015.08.685. Epub 2015 Oct 15.
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Novasure impedance control system versus microwave endometrial ablation for the treatment of dysfunctional uterine bleeding: a double-blind, randomized controlled trial.诺舒阻抗控制系统与微波子宫内膜切除术治疗功能失调性子宫出血的双盲随机对照试验
Clin Exp Obstet Gynecol. 2015;42(3):347-51.
3
Cost effectiveness of endometrial ablation with the NovaSure(®) system versus other global ablation modalities and hysterectomy for treatment of abnormal uterine bleeding: US commercial and Medicaid payer perspectives.NovaSure（®）系统子宫内膜切除术与其他全球消融方式及子宫切除术治疗异常子宫出血的成本效益：美国商业保险和医疗补助支付方视角
Int J Womens Health. 2015 Jan 6;7:59-73. doi: 10.2147/IJWH.S75030. eCollection 2015.
4
Management of heavy menstrual bleeding in general practice.全科医学中月经过多的管理。
Curr Med Res Opin. 2012 Sep;28(9):1517-25. doi: 10.1185/03007995.2012.716030. Epub 2012 Aug 10.
5
Alternatives to hysterectomy: focus on global endometrial ablation, uterine fibroid embolization, and magnetic resonance-guided focused ultrasound.子宫切除术的替代方法：重点关注全球子宫内膜消融术、子宫肌瘤栓塞术和磁共振引导聚焦超声术。
Menopause. 2011 Apr;18(4):437-44. doi: 10.1097/gme.0b013e318207fe15.

射频诱导子宫内膜消融术治疗阴道分娩后产后出血：病例报告

Radiofrequency-induced endometrial ablation for the treatment of postpartum hemorrhage after vaginal delivery: Case report.

作者信息

Wangping Zhang, Hanbing Wu

机构信息

Department of Anesthesiology Department of Obstetrics, Women and Children's Hospital of Jiaxing University, Jiaxing, China.

出版信息

Medicine (Baltimore). 2017 Dec;96(52):e9564. doi: 10.1097/MD.0000000000009564.

DOI:10.1097/MD.0000000000009564
PMID:29384976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6392698/
Abstract

RATIONALE

Postpartum hemorrhage is a common complication and difficult problem in obstetrics. Radiofrequency-induced endometrial ablation (RFIEA) widely used in abnormal uterine bleeding and achieved good effects. This article will investigate the effect of RFIEA for treatment of postpartum hemorrhage.

PATIENTS CONCERNS

A 26-year-old healthy full-term parturient woman presented with postpartum hemorrhage after vaginal delivery for 11 hours, who was ready to emergency surgery (hysterectomy) 7 hours after inserting an intrauterine balloon into uterine cavity.

DIAGNOSES

Blood loss after vaginal delivery was more than 500 mL during 11 hours in the full-term parturient woman.

INTERVENTION

We applied RFIEA to treatment of postpartum hemorrhage. With the patient in dorsal lithotomy position, we advanced the disposable device according to the instruction and operated the Novasure system in semi-automatic mode.

OUTCOMES

There was no obvious endometrial bleeding found with hysteroscopy at the end of surgery. No complications (such as thermal injury to adjacent tissue, uterine perforation, bowel perforation) were observed.

LESSONS

It is safe and effective to treat postpartum hemorrhage after vaginal delivery using RFIEA.

摘要

理论依据

产后出血是产科常见的并发症和难题。射频子宫内膜去除术（RFIEA）广泛应用于异常子宫出血并取得了良好效果。本文将探讨RFIEA治疗产后出血的效果。

患者情况

一名26岁健康足月产妇，阴道分娩11小时后出现产后出血，在宫腔置入宫腔球囊7小时后准备行急诊手术（子宫切除术）。

诊断

该足月产妇阴道分娩11小时内失血超过500毫升。

干预措施

我们采用RFIEA治疗产后出血。患者取膀胱截石位，按照说明书推进一次性装置，以半自动模式操作诺舒系统。

结果

手术结束时宫腔镜检查未发现明显子宫内膜出血。未观察到并发症（如邻近组织热损伤、子宫穿孔、肠穿孔）。

经验教训

使用RFIEA治疗阴道分娩后产后出血安全有效。