子宮筋腫・腺筋症を合併した再生不良性貧血症例に経頸管的子宮内膜切除術を施行し, 良好な経過を得た1例

概要

論文の詳細を見る
We saw a case of successful TCRE for the purpose of decreasing menstrual volume in a patient with aplastic anemia. The patient was a 45-year-old woman who was diagnosed with aplastic anemia at another hospital in 1992. In November, 1996 she was introduced to the internist of Shinnittetsu Muroran General Hospital. Her disease was relatively stable then, but during menstruation there was such massive bleeding as to require considerable blood transfusion. In order to control the menstruation, she received GnRHa as pseudo-climacteric therapy, but her climacteric-like symptons were so severe that estrogen add back therapy was not effective. Since she rejected another GnRHa therapy, we considered hysterectomy, but it seemed dangerous to perform a hysterectomy on such a patient, so we had to employ an alternative to hysterectomy. Finally on 21 October, 1998, she received TCRE treatment. After the operation there was no menstruation for about a year. Although the number of blood transfusions was not changed, the volume of blood transfused was significantly decreased from 2,800-4,000ml / month to 2,000-3,000ml / month. Our stress and hers was relieved and we are satisfied with the result of the TCRE. TCRE is a useful intervention as an alternative to hysterectomy aimed at curing hypelmenorrhea.
2000-05-01