過多月経に対する外科治療について—マイクロ波子宮内膜アブレーション（microwave endometrial ablation：MEA）導入後の検討—

概要

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Objective: To compare microwave endometrial ablation (MEA) using a new curved applicator with conventional surgical procedures in 53 patients with menorrhagia.Study Design: Thirty seven patients received MEA and 16 patients received conventional surgical procedures. Using a visual analog scale (VAS), MEA patients rated their menorrhagia, dysmenorrhea, and feelings of satisfaction from the procedure. The patients intraoperative blood loss, operating time, and length of hospital stay were compared.Results: Following MEA, the VAS scores were significantly decreased in the MEA patients for menorrhagia (p<0.0001) and dysmenorrhea (p<0.0001). The average VAS score regarding feelings of satisfaction for MEA was 9.1 (full score = 10). Mean blood loss, operating time, and mean length of hospital stay were significantly decreased in the MEA group compared to the conventional surgical procedure group (p<0.0001).Conclusion: MEA successfully controlled menorrhagia and achieved a high rate of satisfaction among patients.