子宮腺筋症に対する子宮鏡下子宮内膜削除術の有用性の検討

抄録

Objective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea.

Design: Retrospective analysis

Setting: Tokyo Metropolitan Health and Hospitals Corporation, Ohkubo Hospital, Japan

Method(s): From January 2011 to December 2017, 14 women with hypermenorrhea underwent hysteroscopic endometrial ablation for adenomyosis. Surgical outcomes and complications were evaluated. In our method, the endometrium and a part of the myometrium lining the uterus (approximately 5 mm in depth) were resected.

Result(s): All patients had decreased bleeding. Four patients had amenorrhea (28.6%) and 10 patients had menorrhea (71.4%). The recurrence of hypermenorrhea and major complications were not reported. Three patients with dysmenorrhea needed additional treatments but were relieved by hormonal therapy and were able to avoid hysterectomy.

Conclusion(s): Hysteroscopic endometrial ablation for adenomyosis is an effective and safe procedure that can reduce the hysterectomy rate.