子宫内膜消融术治疗功能失调性子宫出血34例

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

Radiofrequency endometrial ablation in the treatment of 34 patients with dysfunctional uterine bleeding

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.