Abstract

Introduction: Microwave endometrial ablation (MEA) is beginning to be used widely in Japan as a minimally invasive alternative to conventional total hysterectomy for functional hypermenorrhea, uterine fibroids, hypermenorrhea due to organic diseases such as uterine adenomyosis, and acute heavy uterine bleeding.

Method: MEA was introduced in our hospital in January 2016. It is performed after a screening via cytodiagnosis and histodiagnosis to ensure that there are no malignant diseases in the uterus. Histopathological examination by endometrial curettage during MEA revealed three cases of endometrial abnormalities. In all cases, radical surgery was performed, the postoperative course was good, and no recurrence was observed. Here, we report three cases in which abnormal endometrial tissue findings were observed in histopathologic examinations via total endometrial curettage during MEA.

Conclusion: When performing MEA, it is important to perform detailed examinations and careful monitoring of post-operative progress bearing in mind potential malignant uterine diseases.

摘要

简介：微波子宫内膜切除术（MEA）在日本已开始广泛用作微创替代常规全子宫切除术的功能性月经过多，子宫肌瘤，因子宫腺肌病等器质性疾病导致的月经过多和急性子宫严重出血。

方法： MEA于2016年1月在我院引进。通过细胞学诊断和组织学检查筛查后进行，以确保子宫内无恶性疾病。MEA期间通过子宫内膜刮除术进行的组织病理学检查显示3例子宫内膜异常。在所有情况下，均进行了根治性手术，术后过程良好，未观察到复发。在这里，我们报告了三例在MEA期间通过全部子宫内膜刮除术在组织病理学检查中观察到异常子宫内膜组织发现的情况。

结论：进行MEA时，考虑到潜在的恶性子宫疾病，进行详细检查和仔细监测术后进展非常重要。