当院で行っているレゼクトスコープを併用したMEAについて

抄録

Objective: The aim of this study was to evaluate the efficacy of combination use of a resectoscope for microwave endometrial ablation (MEA).

Materials and methods: From January 2013 to February 2016, 36 patients with menorrhagia underwent MEA. We used the resectoscope to remove ablated endometrium. Fibromas or polyps in the uterine cavity were cleared with a resectoscope before MEA. Hematological improvement, operative time, complications, number of ablations, additional ablations, and improvement in hypermenorrhea were evaluated.

Results: The hemoglobin level improved in all patients, including 15 who became amenorrheic. The resectoscope was additionally used for MEA in 24 cases. Additional ablation was performed in 15 patients (41.7%). One patient had postoperative endometritis without combined use of the resectoscope.

Conclusion: Our procedure is useful for debris removal, additional ablation when non-ablated tissue is identified, MEA after clearing of an irregular uterine cavity, and identification of pathology.