Wortman M, Daggett A
Department of Obstetrics and Gynecology, University of Rochester, New York.
Obstet Gynecol. 1994 Feb;83(2):295-8.
Thirty-five patients with menorrhagia and a normal uterine cavity underwent hysteroscopic endomyometrial resection. None underwent any form of medical or surgical preparation of the endometrium. A standard gynecologic resectoscope was used to excise a minimum of 3 mm of endomyometrium from the entire uterine cavity. This depth was reduced to 2 mm at the tubal ostia. All patients were followed for 3-6 months. Twenty-one of the 25 patients (84%) who were followed at 6 months reported amenorrhea. The mean dysmenorrhea scores improved from 2.84 to 0.56 postoperatively. Seven of the 35 patients were diagnosed with adenomyosis. One woman was found to have adenomatous hyperplasia of the endometrium. Hysteroscopic endomyometrial resection is a highly effective method for the treatment of menorrhagia. This technique produces a very high rate of amenorrhea, provides a histologic specimen of the endomyometrium, and obviates the need for medical or surgical preparation of the endometrium.
35例月经过多且子宫腔正常的患者接受了宫腔镜下子宫内膜切除术。无一例患者接受过任何形式的子宫内膜药物或手术预处理。使用标准的妇科电切镜从整个子宫腔切除至少3mm的子宫内膜肌层。在输卵管开口处，此深度减至2mm。所有患者随访3 - 6个月。在6个月时接受随访的25例患者中有21例（84%）报告闭经。痛经平均评分术后从2.84改善至0.56。35例患者中有7例被诊断为子宫腺肌病。1名女性被发现患有子宫内膜腺瘤样增生。宫腔镜下子宫内膜切除术是治疗月经过多的一种高效方法。该技术闭经率很高，可提供子宫内膜肌层的组织学标本，且无需对子宫内膜进行药物或手术预处理。
