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经宫颈宫腔内射频消融术治疗伴有出血性疾病的高风险子宫肌瘤患者。

Transcervical intrauterine radiofrequency ablation of fibroids in high-risk patients with bleeding disorder.

机构信息

Department of Obstetrics and Gynecology, University Witten-Herdecke, Department of Obstetrics and Gynecology, Academic Hospital Cologne Weyertal University of Cologne, Germany.

Department of Obstetrics and Gynecology Academic Hospital Cologne Weyertal University of Cologne, Germany.

出版信息

Ginekol Pol. 2022;93(8):614-619. doi: 10.5603/GP.a2022.0042. Epub 2022 Jul 27.

DOI:10.5603/GP.a2022.0042
PMID:35894488
Abstract

OBJECTIVES

To show the advantages of transcervical radiofrequency ablation (TRFA) in high-risk patients with bleeding disorder.

MATERIAL AND METHODS

It is a retrospective analysis. The study included only patients with known pre-existing conditions (obesity, cardiac and neurological disease, coagulation disorder, anaemia) or post-surgical conditions who were treated with the Sonata® System for fibroid-related bleeding complaints at Academic Hospital Cologne Weyertal between January 2015 and March 2021. These patients were classified as high-risk patients. The fibroids were mostly determined due transvaginal sonography. Thirty patients were included, and 43 fibroids were determined.

RESULTS

Therapy with the Sonata® system could be performed without complications in all cases. In our analysis, improvement of fibroid-related symptoms was observed in 89% of cases.

CONCLUSIONS

The Sonata® System is on the one hand minimally invasive, uncomplicated and fast and on the other hand a successful method of fibroid therapy, which is particularly suitable for high-risk patients with various pre-existing conditions, for whom a minimally invasive, bloodless and short surgical procedure has great advantages.

摘要

目的

展示经宫颈射频消融术(TRFA)在出血性疾病高危患者中的优势。

材料和方法

这是一项回顾性分析。研究仅包括已知存在预先存在的疾病(肥胖、心脏和神经系统疾病、凝血障碍、贫血)或手术后情况的患者,他们在 2015 年 1 月至 2021 年 3 月期间在科隆魏厄尔塔尔学术医院因肌瘤相关出血症状接受了 Sonata®系统治疗。这些患者被归类为高危患者。这些肌瘤主要通过阴道超声确定。共纳入 30 例患者,确定了 43 个肌瘤。

结果

在所有病例中,Sonata®系统治疗均无并发症。在我们的分析中,89%的病例观察到肌瘤相关症状改善。

结论

Sonata®系统一方面微创、简单、快速,另一方面是一种成功的肌瘤治疗方法,特别适用于存在各种预先存在疾病的高危患者,对于这些患者,微创、无血、手术时间短具有很大的优势。

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Transcervical intrauterine radiofrequency ablation of fibroids in high-risk patients with bleeding disorder.经宫颈宫腔内射频消融术治疗伴有出血性疾病的高风险子宫肌瘤患者。
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