マイクロ波子宮内膜アブレーション (microwave endometrial ablation: MEA)は過多月経に有効である 当院におけるMEAの臨床的検討

Microwave endometrial ablation at a frequency of 2.45 GHz is effective for the treatment of hypermenorrhea: A clinical investigation at our hospital Objective: The goal of the study was to investigate microwave endometrial ablation (MEA) at a frequency of 2.45 GHz as a low-invasive alternative to hy...

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Published inJournal of Microwave Surgery Vol. 37; no. 3; pp. 1 - 5
Main Authors 齊藤, こよみ, 柿沼, 敏行, 井原, 基公, 谷口, 実紀, 伊東, 孝晃, 佐藤, 郁夫, 藤本, 揚子, 大和田, 倫孝, 鍵本, 昌孝, 今井, 賢, 田中, 宏一, 柿沼, 薫, 牛丸, 創士, 兼子, 絢華, 坂本, 優香, 松田, 義雄, 河原井, 麗正, 栁田, 薫
Format Journal Article
LanguageJapanese
Published 特定非営利活動法人 Microwave Surgery研究会 2019
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ISSN0917-7728
1882-210X
DOI10.3380/jmicrowavesurg.37.3

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Abstract Microwave endometrial ablation at a frequency of 2.45 GHz is effective for the treatment of hypermenorrhea: A clinical investigation at our hospital Objective: The goal of the study was to investigate microwave endometrial ablation (MEA) at a frequency of 2.45 GHz as a low-invasive alternative to hysterectomy for the treatment of hypermenorrhea. Subjects and Methods: The subjects were 57 patients treated with MEA between January 2016 and December 2018 in our department. Hypermenorrhea, menstrual pain, and satisfaction with treatment were evaluated using visual analog scales (VAS) 6 months post-treatment. Hb levels before and after MEA were also investigated. Results: VAS scores for hypermenorrhea and menstrual pain significantly improved from 10 before treatment to 1.2±1.3 and 1.6±2.0, respectively, after treatment (p<0.001). Hb significantly increased from 8.8±2.2 to 13.2±1.3g/dl from before to after MEA (p<0.001). Strong satisfaction with MEA was indicated by a VAS score of 9.5±0.7. Conclusion: MEA may be useful for the treatment of hypermenorrhea as an alternative to hysterectomy.
AbstractList Microwave endometrial ablation at a frequency of 2.45 GHz is effective for the treatment of hypermenorrhea: A clinical investigation at our hospital Objective: The goal of the study was to investigate microwave endometrial ablation (MEA) at a frequency of 2.45 GHz as a low-invasive alternative to hysterectomy for the treatment of hypermenorrhea. Subjects and Methods: The subjects were 57 patients treated with MEA between January 2016 and December 2018 in our department. Hypermenorrhea, menstrual pain, and satisfaction with treatment were evaluated using visual analog scales (VAS) 6 months post-treatment. Hb levels before and after MEA were also investigated. Results: VAS scores for hypermenorrhea and menstrual pain significantly improved from 10 before treatment to 1.2±1.3 and 1.6±2.0, respectively, after treatment (p<0.001). Hb significantly increased from 8.8±2.2 to 13.2±1.3g/dl from before to after MEA (p<0.001). Strong satisfaction with MEA was indicated by a VAS score of 9.5±0.7. Conclusion: MEA may be useful for the treatment of hypermenorrhea as an alternative to hysterectomy.
Author 今井, 賢
河原井, 麗正
栁田, 薫
谷口, 実紀
田中, 宏一
藤本, 揚子
鍵本, 昌孝
坂本, 優香
齊藤, こよみ
松田, 義雄
井原, 基公
佐藤, 郁夫
伊東, 孝晃
柿沼, 薫
大和田, 倫孝
牛丸, 創士
兼子, 絢華
柿沼, 敏行
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References 3) Ishikawa M, Katayama K, Yoshida H, Hirahara F : Therapeutic outcomes and postoperative courses in microwave endometrial ablation for menorrhagia. J. Microwave Surg 30 : 253-257, 2012 Volume 30 Pages 253-257
6) Hurskainen R, Teperi J, Rissanen P, Aalto AM, Grenman S, Kivelä A, Kujansuu E, Vuorma S, Yliskoski M, Paavonen J : Clinical outcomes and costs with the levonorgestrel-releasing intrauterine system or hysterectomy for treatment of menorrhagia:randomized trial 5-year follow-up. JAMA 291: 1456-1463, 2004
9) Bhattacharaya S, Parkin DE, Reid TM, Abramovich DR, Mollison J, Kitchener HC : A prospective randomized study of the effects of prophylactic antibiotics on the incidence of bacteraemia following hysteroscopic surgery. Eur J Obstet Gynecol Reprod Biol 63 : 37-40, 1995
1) Fernandez H : Update on the management of menometrorrhagia : new surgical approaches. Gynecol Endocrinol 27 : 1131-1136, 2011
5) Kaunitz AM, Bissonnette F, Monteiro I, Lukkari-Lax E, Muysers C, Jensen JT : Levonorgestrel-releasing intrauterine system or medroxyprogesterone for heavymenstrual bleeding : a randomized controlled trial. Obstet Gynecol 116 : 625-632, 2010
2) Amso NN, Stabinsky SA, McFaul P, Blanc B, Pendley L, Neuwirth R : Uterine thermal balloontherapy for the treatment of menorrhagia. Br J Obstet Gynaecol 105 : 517-523, 1998
7) Longinotti MK, Jacobson GF, Hung YY, Learman LA : Probability of hysterectomy after endometrial ablation. Obstet Gynecol 112 : 1214-1220, 2008
4) Nakayama K, Ishibashi T, Ishikawa M, Katagiri A, Katagiri H, Iida K, Nakayama N, Miyazaki K : Microwave endometrial ablation at a frequency of 2.45 GHz for menorrhagia: analysis of treatment results at a single facility. J Obstet Gynaecol Res 40 : 224-229, 2014
8) Das S, Kirwan J, Drakeley AJ, Kingsland CR : Pelvic abscess following microwave endometrial ablation. BJOG 112 : 118-119, 2005
References_xml – reference: 5) Kaunitz AM, Bissonnette F, Monteiro I, Lukkari-Lax E, Muysers C, Jensen JT : Levonorgestrel-releasing intrauterine system or medroxyprogesterone for heavymenstrual bleeding : a randomized controlled trial. Obstet Gynecol 116 : 625-632, 2010
– reference: 4) Nakayama K, Ishibashi T, Ishikawa M, Katagiri A, Katagiri H, Iida K, Nakayama N, Miyazaki K : Microwave endometrial ablation at a frequency of 2.45 GHz for menorrhagia: analysis of treatment results at a single facility. J Obstet Gynaecol Res 40 : 224-229, 2014
– reference: 2) Amso NN, Stabinsky SA, McFaul P, Blanc B, Pendley L, Neuwirth R : Uterine thermal balloontherapy for the treatment of menorrhagia. Br J Obstet Gynaecol 105 : 517-523, 1998
– reference: 6) Hurskainen R, Teperi J, Rissanen P, Aalto AM, Grenman S, Kivelä A, Kujansuu E, Vuorma S, Yliskoski M, Paavonen J : Clinical outcomes and costs with the levonorgestrel-releasing intrauterine system or hysterectomy for treatment of menorrhagia:randomized trial 5-year follow-up. JAMA 291: 1456-1463, 2004
– reference: 8) Das S, Kirwan J, Drakeley AJ, Kingsland CR : Pelvic abscess following microwave endometrial ablation. BJOG 112 : 118-119, 2005
– reference: 9) Bhattacharaya S, Parkin DE, Reid TM, Abramovich DR, Mollison J, Kitchener HC : A prospective randomized study of the effects of prophylactic antibiotics on the incidence of bacteraemia following hysteroscopic surgery. Eur J Obstet Gynecol Reprod Biol 63 : 37-40, 1995
– reference: 1) Fernandez H : Update on the management of menometrorrhagia : new surgical approaches. Gynecol Endocrinol 27 : 1131-1136, 2011
– reference: 3) Ishikawa M, Katayama K, Yoshida H, Hirahara F : Therapeutic outcomes and postoperative courses in microwave endometrial ablation for menorrhagia. J. Microwave Surg 30 : 253-257, 2012 Volume 30 Pages 253-257
– reference: 7) Longinotti MK, Jacobson GF, Hung YY, Learman LA : Probability of hysterectomy after endometrial ablation. Obstet Gynecol 112 : 1214-1220, 2008
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Snippet Microwave endometrial ablation at a frequency of 2.45 GHz is effective for the treatment of hypermenorrhea: A clinical investigation at our hospital Objective:...
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SubjectTerms マイクロ波子宮内膜アブレーション
子宮筋腫
子宮腺筋症
月経困難症
過多月経
Subtitle 当院におけるMEAの臨床的検討
Title マイクロ波子宮内膜アブレーション (microwave endometrial ablation: MEA)は過多月経に有効である
URI https://www.jstage.jst.go.jp/article/jmicrowavesurg/37/3/37_1/_article/-char/ja
Volume 37
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