Usefulness of hysteroscopic endometrial ablation for adenomyosis

手術手技 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 2019 年 35 巻 2 号 p. 399-403 詳細 抄録 Objective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea. Design: Retrospective analysis Setting: Tokyo Metropolitan Health and Hospitals Corporation, Ohkubo Hospital, Japan Method(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. Result(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. Conclusion(s): Hysteroscopic endometrial ablation for adenomyosis is an effective and safe procedure that can reduce the hysterectomy rate. © 2019 日本産科婦人科内視鏡学会