宫腔镜治疗与子宫平滑肌瘤相关的月经过多

Hysteroscopic treatment of menorrhagia associated with uterine leiomyomas.

作者信息

Indman P D

机构信息

Good Samaritan Hospital, San Jose, California.

出版信息

Obstet Gynecol. 1993 May;81(5 ( Pt 1)):716-20.

PMID:8469459

Abstract

OBJECTIVE

To determine the effectiveness of hysteroscopic treatment of menorrhagia associated with uterine leiomyomas.

METHODS

Fifty-one women with uterine myomas were treated for menorrhagia by hysteroscopic resection with or without endometrial ablation. Patients were followed for 1-5 years after treatment.

RESULTS

The mean number of pads used during the heaviest day of menses decreased from 17.8 before treatment to 6.8 after treatment (P < .005) in women undergoing resection only, and from 21.4 to 1.7 pads per day in women whose treatment included endometrial ablation (P < .001). Two-thirds of the women who underwent ablation were completely amenorrheic after the procedure. Both groups experienced significant decreases in dysmenorrhea. Three patients subsequently underwent hysterectomy after hysteroscopic treatment, and one required a repeat hysteroscopic procedure.

CONCLUSION

Hysteroscopic treatment of menorrhagia associated with uterine myomas can be effective in carefully selected patients.

摘要

目的

确定宫腔镜治疗子宫肌瘤相关月经过多的有效性。

方法

51例子宫肌瘤患者接受了宫腔镜切除术，部分患者同时进行了子宫内膜去除术，以治疗月经过多。治疗后对患者进行了1至5年的随访。

结果

仅接受切除术的女性，月经最量大的日子里平均使用卫生巾数量从治疗前的17.8片降至治疗后的6.8片（P < 0.005）；接受包括子宫内膜去除术治疗的女性，这一数字从每天21.4片降至1.7片（P < 0.001）。接受子宫内膜去除术的女性中有三分之二术后完全闭经。两组患者痛经均显著减轻。3例患者在宫腔镜治疗后接受了子宫切除术，1例需要再次进行宫腔镜手术。