子宫内膜热球去除术治疗子宫内膜息肉的远期临床观察

Long-term clinical observation of endometrial polyps treatment with thermablateTMEASTM

摘要:

目的 评估子宫内膜热球去除术治疗存在复发及恶变高危因素的子宫内膜息肉的远期疗效。方法 对2005年1月~2007年3月接受该治疗的49例合并息肉复发及恶变高危因素有症状的患者进行5～8年随访观察。结果 40例非绝经期患者39例治疗有效，1例复发；9例绝经期患者均无复发。总有效率97.9％，复发率2.1%。术后均无子宫内膜癌发生。结论 对无生育要求且存在息肉复发及恶变高危因素的女性，息肉切除同时行子宫内膜热球去除术，复发率低，远期疗效稳定，为临床治疗子宫内膜息肉、预防息肉复发及恶变提供了很好的术式选择。

Abstract:

【Objective】 To evaluate the long-term efficacy of endometrial polyps with the risks of recurrence or malignancy treated by Thermablate Endometrial Ablation System (ThermablateTMEASTM). 【Methods】 Forty-nine patients with symptomatic endometrial polyps with the risks of recurrence or malignancy were followed-up for a long-term period (5~8 yrs), and all of them accepted ThermablateTMEASTM between Jan. 2005 and Mar. 2007. 【Results】 After the operation, 39/40 patients with non-menopausal were effective, 1 of these patients relapsed. 9 cases with postmenopausal had no recurrence. The total effective rate was 97.9%, and the recurrence rate was 2.1%. All patients had no evidence of endometrial carcinoma. 【Conclusion】 Thermablate TMEASTM UBT has low recurrence rate and stable long-term efficacy for symptomatic endometrial polyps, especially for the patients with the risks of recurrence or malignancy, who had no requirement for reproductive. It's a good surgical selection for the treatment of endometrial polyps and the prevention of recurrence and malignancy.