過多月経に対するマイクロ波子宮内膜アブレーション（MEA : microwave endometrial ablation）の有効性，再発，合併症の検討

概要

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In late years, microwave endometrial ablation (MEA) has been attracting attention as an effective and minimally invasive treatment alternative to hysterectomy. Microwave irradiation removes whole endometrium including its basal layer and reduces the amount of menstrual bleeding. We performed MEA for 103 patients with hypermenorrhea from August in 2007 to October in 2012. As a note, all patients had no hope of delivering. Among those patients, 72 cases were able to be enrolled for the evaluation. Then, the effectiveness of MEA for the excessive menstruation was evaluated. As a result, we have reached the conclusion that MEA is a new effective treatment with safety and good cost performance for excessive menstruation. MEA should be considered as a standard treatment for the conservative therapy-resistant excessive menstruation.