手術手技
子宮鏡にて焼灼を確認しながら行うマイクロ波子宮内膜アブレーションの導入
2017 年 33 巻 1 号 p. 219-222
詳細
2017 年 33 巻 1 号 p. 219-222
Objective: To clarify the feasibility of microwave endometrial ablation (MEA) using hysteroscopy to check the degree and range of endometrial ablation.
Design: Retrospective Analysis.
Setting: Department of Obstetrics and Gynecology, Shizuoka Kosei Hospital, Japan.
Patient(s): A total of 43 women who underwent MEA for hypermenorrhea between 2013 and 2016 were divided into two groups based on the availability of hysteroscopic examinations: MEA with no detailed hysteroscopy (group A; n=14) and MEA following detailed hysteroscopy (group B; n=29). Outcome measures were evaluated with regard to patient characteristics, surgical outcomes, rates of amenorrhea, and complications.
Result(s): The number of ablations performed in group A was significantly higher than that in group B (P<0.01). The volume of perfusate was lower in group A than in group B (P<0.01). There were no significant differences in the total operative time, blood loss volume, or rate of amenorrhea. No major operative complications that required further treatment occurred in group B.
Conclusion(s): Despite multiple hyseroscopic procedures, there was no difference in operative time due to the decreased number of ablations. Introducing hysteroscopy in MEA could reduce the excess ablations and potential risk of complications.
