Effectiveness of microwave endometrial ablation combined with hysteroscopic transcervical resection in treating submucous uterine myomas
作者机构:Department of Obstetrics and GynecologyInternational University of Health and Welfare HospitalNasushiobara 329-2763Japan
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2022年第10卷第36期
页 面:13200-13207页
核心收录:
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Dysmenorrhea Endometrial ablation techniques Menorrhagia Microwaves Myoma Uterus
摘 要:BACKGROUND Hypermenorrhea is characterized by excessive menstrual bleeding that causes severe anemia and interferes with everyday *** condition can restrict women’s social activities and decrease their quality of *** endometrial ablation(MEA)using a 2.45-GHz energy source is a minimally invasive alternative to conventional hysterectomy for treating hypermenorrhea that is resistant to conservative treatment,triggered by systemic disease or medications,or caused by uterine myomas and *** popularity of MEA has increased *** MEA can safely and effectively treat submucous myomas,some patients may still experience recurrent hypermenorrhea postoperatively and may require additional *** To investigate the efficacy of MEA combined with transcervical resection(TCR).METHODS Participants underwent cervical and endometrial *** resonance imaging and hysteroscopy were performed to evaluate the size and location of the *** was performed before MEA using a *** was performed using transabdominal *** variables included operation time,number of ablation cycles,length of hospital stay,and visual analog scale cores for hypermenorrhea,dysmenorrhea,and treatment satisfaction at 3 and 6 mo *** postoperative incidence of amenorrhea,changes in hemoglobin concentrations,and MEA-related complications were *** A total of 34 women underwent a combination of MEA and TCR during the study *** patients were excluded from the study as their histopathological tests identified uterine malignancies(uterine sarcoma and endometrial cancer).The 32 eligible women(6 nulliparous,26 multiparous)had a mean age of 45.2±4.3 years(range:36–52 years).Patients reported very severe hypermenorrhea(10/10 points on the visual analog scale)before the ***,after the procedure,the hypermenorrhea scores decreased to 1.2±1.3 and 0.9±1.3 at 3 and 6 mo,respectively(P0.001)