Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis
Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis
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DOI：
10.1111/jog.12787
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发表时间：
2015-11-01
影响因子：
1.6
通讯作者：
Kyo, Satoru
中科院分区：
文献类型：
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作者：
Nakamura, Kohei;Nakayama, Kentaro;Kyo, Satoru
传统的微波子宫内膜消融术（MEA）不足以控制子宫腺肌病引起的月经过多。我们比较了标准的单一消融技术与多MEA -重复消融三次在同一地区-在子宫腺肌病和月经过多的患者。材料和MethodsWe进行了单MEA在18例患者和多个MEA在7例患者之间的2007年和2013年。我们使用视觉模拟量表（VAS）比较了单次和多次MEA对月经过多、痛经和患者满意度的疗效。我们还评估了月经过多复发，闭经，手术并发症的发生率与患者的临床factor.ResultsVAS评分改善月经过多和患者的满意度显着高于在多MEA组比单MEA组，但是，手术时间更长的多治疗组。两组之间的血红蛋白水平，VAS改善痛经，月经过多复发，并发症的频率，或amorenaerationrate.ConclusionMultiple MEA成功地控制子宫腺肌病月经过多，并取得了更高的满意率比单一MEA的统计学差异。
AimConventional microwave endometrial ablation (MEA) can be insufficient to control menorrhagia resulting from adenomyosis. We compared the standard single ablation technique with multiple MEA - repeating ablation three times in the same region - in patients with adenomyosis and menorrhagia.Material and MethodsWe performed single MEA in 18 patients and multiple MEA in seven patients between 2007 and 2013. We compared the efficacy of single and multiple MEA using a visual analog scale (VAS) for menorrhagia, dysmenorrhea, and patient satisfaction. We also evaluated the incidence of menorrhagia recurrence, amenorrhea, and procedure complications in relation to patients' clinical factors.ResultsVAS scores for improved menorrhagia and patient satisfaction were significantly higher in the multiple MEA group than in the single MEA group; however, the operative time was longer in the multiple-treatment group. There were no statistical differences between groups in hemoglobin levels, VAS improvement for dysmenorrhea, menorrhagia recurrence, frequency of complications, or amenorrhea rate.ConclusionMultiple MEA successfully controls menorrhagia from adenomyosis and achieves a higher satisfaction rate than single MEA.