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５５０ ｋＨｚ射频电源与宫腔刮匙相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例患者均用４０Ｗ～５０ Ｗ 治疗５ ｍ ｉｎ～７ ｍ ｉｎ，一次完成． 结果： 其闭经和月经明显减少者分别为５９％ 和３５％ ． 总成功率为９４％ ． 结论：ＲＦＡＥ治疗功血简单安全，快速有效，可替代子宫切除，也明显优于目前其它子宫内膜切除术．
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.
出处
《第四军医大学学报》
1999年第10期865-867,共3页
Journal of the Fourth Military Medical University
关键词
子宫出血
治疗
子宫内膜消融术
功能性
uterine hemorrhage/TH
endonetrium ablation, radiofrequency
