Gimpelson R J, Lentz R D
Department of Obstetrics and Gynecology, St. Louis University School of Medicine, Missouri.
J Reprod Med. 1993 Aug;38(8):592-4.
Three women had evidence of atypical endometrial hyperplasia at the time of endometrial ablation, discovered because they had mechanical preparation of the endometrium rather than medical preparation. In one of these patients, a frozen section revealed atypical endometrial hyperplasia, and the ablation was cancelled. A fourth woman had an unsuccessful endometrial ablation; repeat ablation was followed by nine months of amenorrhea, at which time she began spotting and requested a hysterectomy. The pathology report on the hysterectomy specimen revealed adenomatous hyperplasia. Gynecologists must be vigilant in their evaluation of the endometrium before, during and after endometrial ablation.
三名女性在子宫内膜消融时被发现存在非典型子宫内膜增生，原因是她们采用的是子宫内膜的机械性预处理而非药物预处理。在其中一名患者中，术中冰冻切片显示为非典型子宫内膜增生，于是取消了消融手术。第四名女性的子宫内膜消融手术未成功；再次消融后出现了九个月的闭经，之后开始出现点滴出血，并要求进行子宫切除术。子宫切除标本的病理报告显示为腺瘤样增生。妇科医生在子宫内膜消融术前、术中和术后对子宫内膜的评估中必须保持警惕。
