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SideFire激光光纤子宫内膜切除术的五年回顾

Five-year review of endometrial ablation with the SideFire laser fiber.

作者信息

Everett R B

机构信息

Baptist Laser Institute, Department of Obstetrics and Gynecology, University of Oklahoma Health Science Center, Oklahoma City, USA.

出版信息

J Am Assoc Gynecol Laparosc. 1999 Feb;6(1):65-9. doi: 10.1016/s1074-3804(99)80043-7.

Abstract

STUDY OBJECTIVE

To determine 5-year results of endometrial ablation with the SideFire laser fiber.

DESIGN

All women seen in private office who were candidates for this procedure were followed over 5 years (Canadian Task Force classification II-2).

SETTING

Patients were pretreated with depot leuprolide acetate in a private office. All procedures were done in an outpatient surgery center, and no patient was admitted to the hospital.

PATIENTS

Eighty-six women with increased bleeding.

INTERVENTION

Endometrial ablation with the SideFire laser fiber.

MEASUREMENTS AND MAIN RESULTS

After follow-up of 12 to 72 months, 100% of patients had excellent results; 70 (82%) had total amenorrhea. Results were not less satisfactory in younger women.

CONCLUSION

The SideFire laser fiber seems to be a good alternative that achieves improved outcomes compared with electrosurgery and balloon devices with hot fluid or electrodes. (J Am Assoc Gynecol Laparosc 6(1):65-69, 1999)

摘要

研究目的

确定使用SideFire激光纤维进行子宫内膜切除术的5年效果。

设计

对在私人诊所就诊且适合该手术的所有女性进行了5年随访(加拿大工作组分类II - 2)。

地点

患者在私人诊所接受醋酸亮丙瑞林长效注射预处理。所有手术均在门诊手术中心进行,无患者住院。

患者

86名出血增多的女性。

干预措施

使用SideFire激光纤维进行子宫内膜切除术。

测量指标及主要结果

随访12至72个月后,100%的患者效果极佳;70例(82%)出现完全闭经。年轻女性的结果同样令人满意。

结论

与电外科手术以及带有热流体或电极的球囊装置相比,SideFire激光纤维似乎是一种能取得更好效果的良好替代方案。(《美国妇科腹腔镜医师协会杂志》6(1):65 - 69, 1999年)

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