Effectiveness of microwave endometrial ablation combined with hysteroscopic transcervical resection in treating submucous uterine myomas

作     者：Toshiyuki Kakinuma Kaoru Kakinuma Ayano Shimizu Ayaka Kaneko Masataka Kagimoto Takafumi Okusa Eri Suizu Koyomi Saito Yoshio Matsuda Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada 

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)