{"paper_id":"6965d4a2-06e3-4076-8540-3f9a5697539d","body_text":"産婦人科領域，MEA\n経頸管的マイクロ波アブレーションによる子宮腺筋症の新しい治療法\n2012 年 30 巻 p. 61-65\n詳細\n抄録\nObjectives: Transcervical microwave adenomyolysis (TCMAM) along with microwave endometrial ablation (MEA) could replace hysterectomy for treating adenomyosis. Thus, we performed a feasibility study in the treatment of adenomyosis by simultaneously using TCMAM and MEA.\nMaterials and methods: Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis.\nResults: We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation.\nConclusion: TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis.\nMaterials and methods: Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis.\nResults: We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation.\nConclusion: TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis.\n© 2012 特定非営利活動法人 Microwave Surgery研究会","source_license":"CC0","license_restricted":false}