国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2014, Vol. 33 ›› Issue (2): 124-127.

• 综述 • 上一篇    下一篇

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   

  1. 730000 兰州大学第一临床医学院（王子静）；兰州大学第一医院（杨永秀）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-03-15 发布日期:2014-03-15
  • 通讯作者: 杨永秀

Clinical Application and Development of NovaSure Impedance Controlled Endometrial Ablation

WANG Zi-jing，YANG Yong-xiu   

  1. The First Clinical Medical College of Lanzhou University，Lanzhou 730000，China（WANG Zi-jing）；First Hospital of Lanzhou University，Lanzhou 730000，China（YANG Yong-xiu）
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-03-15 Online:2014-03-15
  • Contact: YANG Yong-xiu

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摘要： 异常子宫出血（abnormal uterine 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（endometrial ablation，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: 宫腔镜, 宫腔镜检查, 子宫出血, 诺舒阻抗控制系统, 子宫内膜去除术

Abstract: Abnormal uterine bleeding （AUB） is a common problem. Hysterectomy is the standard treatment for those women with heavy menstrual bleeding who have no response to medical treatment. The endometrial ablatiｏｎ （ＥＡ） ｂｙ the minimal invasive procedure to destroy the endometrium has been used to replace hysterectomy. The NovaSure impedance controlled endometrial ablation, one of those minimal invasive procedures, is a second-generation method of EA for clinical practice in foreign countries over decade. Its principle is based on the power delivery and procedure termination concept, and the well-analyzed physical characteristics of tissue （impedance/resistance） allowing for a controlled depth of tissue destruction in an short time. It is not necessary to pre-treat endometrium. Patient can even be treated when actively bleeding. Other benefits for patients are high safety, effective treatment, short operating time, and automatic operation.

Key words: Hysteroscopes, Hysteroscopy, Uterine hemorrhage, NovaSure impedance controlled system, Endometrial ablation