Radio Frequency Heat Coagulation Treantment for Patients with Special Abnormal Uterine Bleeding

Objective To investigate the method to treat abnormal uterine bleeding in patients following renal transplantation,Cardiac valve replacement and some blood diseases.Methods 56 special abnormal uterine bleeding(AUB) patients were treated using RFHC,inclouding 30 cases after renal transplantation,6 cases after Cardiac valve replacement,and 20 cases with blood disease.Dilation curettage were given to exclude possible atypical hyperplasia and endometrium carcinoma before treatmen,and other necessary examinations were also given.These patients were treated by RFHC for 3-5 minutes,observed in hospital for 48-72 hours,with prevention of infection at the same time,and followed up at month 1,3,6,12 after treatment.Results Compared to prior treatment,RFHC significantly improved Hb(P0.05),decreased PBAC(P0.05).Also,it significantly dreased BUM in patents with kidney translplattioin(P0.05).3 mnths after the treatment,6 patient relapsed.Among them,3 simple DUB patients and 1 adenomyosis patient benefited from the second treatment.1 patient with multiple uterine myoma and 1 adenomyosis patient who had no better clinical outcome were given subtotal hysterectomy.Other patients showed better clinical outcome.Conclusion Radiofrequency treatment can control AUB quickly,and has no side effects on the primary disease.This treatment is acceptable,fast,effective,easy-to-operate,mini-invasive,and low-cost.It may be the first choice to treat some special AUB,such as patients after renal transplantation,cardiac valve replacement and other blood diseases.