诺舒阻抗控制系统子宫内膜去除术的临床应用及进展.pdfVIP

．124． ·综述· 诺舒阻抗控制系统子宫内膜去除术的临床应用及进展 王子静，杨永秀△ uterine 【摘要】异常子宫出血(abnormal bleeding，AUB)是妇科常见病，对于病情严重、药物治疗无 效者通常选择子宫切除治疗。子宫内膜去除术(endometrialablation，EA)通过微创方式破坏子宫内膜，替代 子宫切除术，为AUB患者提供了保留子宫的可能。诺舒(NovaSure)阻抗控制系统子宫内膜去除术是第二代 子宫内膜去除术之一，在国外已有十余年的应用史，以阻抗控制为原理，利用射频能量将子宫内膜汽化并 去除，具有无需术前预处理子宫内膜、自动化操作、平均治疗时间短、不受经期限制、安全性高、疗效显著等 特点。 【关键词】官腔镜；宫腔镜检查；子宫出血；诺舒阻抗控制系统；子宫内膜去除术 Clinical and ofNovaSure ControlledEndometrialAblationWANC ApplicationDevelopment Impedance FirstClinical Medical Lanzhou 730000，China 五-jing，YANGYong-xiu．The Collegeof University，Lanzhou (WANG 730000，China(YANG Zi-jing)；FirstHospitalofLanzhouUniversity，Lanzhou Yong-xiu) author：YANG Corresponding Yong-xiu，E—mail：yongxiuyang@163．com uterine acommon isthestandardtreatment 【Abstract】Abnormal bleeding(AUB)isproblem．Hysterectomy forthosewomenwith menstrual whohaveno tomedicaltreatment．Theendometrial heavy bleeding response ablation theminimalinvasive to theendometriumhasbeenusedto (EA)by proceduredestroy replace NovaSure controlledendometrialablation．oneofthoseminimalinvasive hysterectomy．Theimpedance a methodofEAforclinical in countriesoverdecade．Its procedures，issecond—generation practiceforeign isbasedonthe and termination the principle powerdeliveryprocedure concept，andwell-analyzedphysical characteristicsof fora controlledof destructioninanshort tissue tissue(impedance，resistance)allowingdepth time．Itisnot to endometrium．Pa