子宫热球仪治疗月经过多30例临床分析

目的 探讨子宫热球仪治疗月经过多的效果.方法 采用美国Gynnecare公司研制的TBEA系统,在宫腔内放置特别的乳胶球囊,通过加热的介质使球囊膨胀和加热,以热能均匀地作用于宫腔表面,使子宫内膜组织蛋白凝固,坏死,剥离,以去除足够深度的子宫内膜,达到治疗月经过多的目的.手术前行宫腔镜检查、诊断性刮宫排除宫内占位病变,对30例年龄41～56岁已生育、经保守治疗无效而不愿切除子宫月经过多的病人实行子宫热球仪治疗.结果 30例中有效率96.67%,出现闭经10例(占33.33%),点滴出血10例(占33.33%),少量月经8例(占26.67%),正常月经1例(占3.33%),无明显效果1例(占3.33%).术后除10例出现低热外无子宫穿孔、破裂、邻近组织热损伤、感染及血肿等并发症.结论 子宫热球仪治疗月经过多疗效高,简便,无并发症,是一种安全而微创的手术.

The clinical analysis of thermal balloon endometrial ablation on 30 cases with menorrhagia

Objective To evaluate the effect of the thermal balloon endometrial ablation(TBEA) on cases with menorrhagia.Methods 30 patients with menorrhagia underwent TBEA instrument made by gynnecare company in america to observe the change of menstruation after operation.Results Efficiency rate is 96.67%.Among them 10 cases became amenorrhea,10 cases had only spotting,8 cases had bit mentstruation,1 case had normal periods,1 case had no change.Conclusion TBEA is the simplest,safest and the most rapid effective microtrauma operation of menorrhagia.