204例诺舒子宫内膜去除术治疗月经过多的远期疗效

Long Term Results of Nova Sure System for Menorrhagia: Report of 204 Cases

目的探讨诺舒(Nova Sure)阻抗控制子宫内膜去除系统治疗月经过多的远期疗效。方法 2011年8月~2014年3月,因月经过多药物治疗无效行诺舒子宫内膜去除术349例,其中完成4年以上随访204例,包括月经情况和手术满意度,术后闭经、点状出血、经量少或正常经量且无需再次行诺舒子宫内膜切除术或子宫切除术者为手术有效。结果 204例随访时间(63. 5±8. 1)月(52~81个月)。总有效率93. 1%(190/204),其中闭经率67. 6%(138/204)。子宫切除率6. 9%(14/204),其中8例为子宫腺肌病。手术满意度91. 2%(186/204)。结论诺舒子宫内膜去除术治疗月经过多远期疗效好,子宫切除率低。

Objective To investigate the long term effectiveness of NovaSure system for menorrhagia. Methods From August 2011 to March 2014, 349 women with menorrhagia ineffective to drug therapy were treated with NovaSure system. A total of 204 patients received follow-ups for more than 4 years, including the change of menstruation and satisfaction of operation. Patients with amenorrhea, spotting menstruation, hypomenorrhea and normal menstruation after operation, who did not demand repeated endometrial ablation or hysterectomy, were defined effective. Results The mean follow-up time was (63.5±8.1) months (range, 52-81 months). The overall effective rate of operation was 93.1%(190/204), and the amenorrhea rate was 67.6%(138/204). The hysterectomy rate was 6.9%(14/204), including 8 cases of adenomyosis. The satisfaction rate of NovaSure was 91.2%(186/204). Conclusion The NovaSure system shows high effective rate and low hysterectomy rate in long term follow-ups.