{"paper_id":"b75b2fe5-85ee-42be-9fe2-2cc123ea237a","body_text":"手術手技\n子宮腺筋症に対する子宮鏡下子宮内膜削除術の有用性の検討\n2019 年 35 巻 2 号 p. 399-403\n詳細\n抄録\nObjective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea.\nDesign: Retrospective analysis\nSetting: Tokyo Metropolitan Health and Hospitals Corporation, Ohkubo Hospital, Japan\nMethod(s): From January 2011 to December 2017, 14 women with hypermenorrhea underwent hysteroscopic endometrial ablation for adenomyosis. Surgical outcomes and complications were evaluated. In our method, the endometrium and a part of the myometrium lining the uterus (approximately 5 mm in depth) were resected.\nResult(s): All patients had decreased bleeding. Four patients had amenorrhea (28.6%) and 10 patients had menorrhea (71.4%). The recurrence of hypermenorrhea and major complications were not reported. Three patients with dysmenorrhea needed additional treatments but were relieved by hormonal therapy and were able to avoid hysterectomy.\nConclusion(s): Hysteroscopic endometrial ablation for adenomyosis is an effective and safe procedure that can reduce the hysterectomy rate.\n© 2019 日本産科婦人科内視鏡学会","source_license":"CC0","license_restricted":false}