Endometrial ablation by balloon coagulation.

A. Gallinat
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引用次数: 5

Abstract

Different techniques of global endometrial ablation have been developed during the last 5 years, starting with the introduction of the thermal and the electrocoagulation balloon up to the latest development of bipolar coagulation techniques. Balloon application has many advantages to traditional hysteroscopic laser or electrotechniques. No pre-operative hormonal treatment is required. The operation itself is easier to perform and there is no need for experience in operative hysteroscopy. The main advantage is the lack of a distention medium. Even anesthesiological high risk patients can be treated by balloon techniques without problems. Hysterectomy can be avoided more and more. Essential for global endometrial ablation, in my mind, is a diagnostic hysteroscopy best performed immediately prior to endometrial ablation. In this way, the uterine cavity is evaluated and complications can be avoided or detected early. This combination results in excellent outcome with the lowest complication rate.
子宫内膜球囊消融术。
在过去的5年里,不同的子宫内膜消融技术得到了发展,从热凝和电凝球囊的引入到双极凝固技术的最新发展。与传统的激光或电宫腔镜技术相比,球囊技术具有许多优点。术前无需激素治疗。手术本身容易操作,不需要手术宫腔镜经验。其主要优点是没有膨胀介质。即使是麻醉高危患者,球囊技术也可以毫无问题地治疗。子宫切除术越来越可以避免。在我看来,全子宫内膜消融的关键是在子宫内膜消融之前立即进行宫腔镜诊断。这样,子宫腔的评估和并发症可以避免或早期发现。这种联合治疗效果良好,并发症发生率最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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