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子宫内膜消融术治疗功能失调性子宫出血34例
引用本文:邱学华,赵巧.子宫内膜消融术治疗功能失调性子宫出血34例[J].第四军医大学学报,1999,20(10):865-867.
作者姓名:邱学华  赵巧
作者单位:西安市中心医院妇产科,陕西,西安,710000
摘    要:目的:采用子宫内膜射频消融术(RFAE)治疗功能失调性子宫出血(功血),方法:用RFAE治疗34例功血患者的指征包括:子宫出血:年龄35岁 ̄55岁;无生育要求;需望保留子宫;宫颈附件及子宫大小基本正常;无生殖系统恶性肿瘤和出凝血功能障碍,将频率为550kHz射频的与宫腔上连结并经其将射频电流介入子宫腔,使基底层内膜加热至55 ̄58℃,在清刮宫腔的同时消融内膜,34例患者用40W ̄50W治疗5-7m

关 键 词:子宫出血/治疗  子宫内膜消融术  射频
文章编号:1000-2790(1999)10-0865-67
修稿时间:1999-05-03

Radiofrequency endometrial ablation in the treatment of 34 patients with dysfunctional uterine bleeding
QIU Xue-Hua,ZHAO Qiao.Radiofrequency endometrial ablation in the treatment of 34 patients with dysfunctional uterine bleeding[J].Journal of the Fourth Military Medical University,1999,20(10):865-867.
Authors:QIU Xue-Hua  ZHAO Qiao
Abstract:AIM: To treat dysfunctional uterine bleeding by radiofreuency endometrial ablation (RFAE). METHODS: Thirty four women were treated with RFAE. The inclusion criteria were: 30 to 55 years old, menorrhagin, a complete family, a wish to retain the uterus, normal cervical cytology, normal adnexa no prolapse, no intrauterine abnormalities, and no history of a bleeding disorder. A capacitively coupled curette at 550 kHz was inserted into the uterine cavity, which raised the basilis layer to approximately 55~58 degrees centigrade. The endometriun was ablated whilst the curettage was performed. All of the thirty four cases were given a single treatment at a power level of 40 W~50 W for 5 min~7 min. RESULTS: The "success rate" was 94%, with 59% becoming amenorrhea and 35% showing significant reduction in menstrual bleeding. CONCLUSION: RFAE is a simple, safe, fast and effective approach, which offers an alternative to hysterectomy in the treatment of dysfunctional uterine bleeding and has a number of significant advantages over methods currently used for endometrial ablation.
Keywords:uterine hemorrhage/TH  endonetrium ablation  radiofrequency
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