title: [Application of TB type thermal balloon endometrial ablation for the treatment of abnormal uterine bleeding].
abstract: Objective:To investigate the clinical efficacy, safety and promotion value of TB type thermal balloon endometrial ablation in the treatment of abnormal uterine bleeding.Methods:Fourty three patients who had received TB type endometrial ablation system for treatment of abnormal uterine bleeding from January, 2015 to January, 2016 in theDepartment of gynecology, Beijing Chaoyang Hospital were enrolled in this study. The intra-operative and post-operative complications and improvement of abnormal uterine bleeding and dysmenorrhea were observed.Results:There were nointra-operative complication occurred, such as uterine perforation, massive hemorrhage or surrounding organ damage. At 6 months after operation, 32 patients developed amenorrhea, 6 developed menstrual spotting, 3 developed menstruation with a small volume and 1 had a normal menstruation. No menstruation with an increased volume occurred. The occurrence of amenorrhea was 76.19% and the response rate was 97.62%.At 6 months after operation, 1 case had no response, 2 cases had partial response and 11 cases had complete response among the 14 cases of pre-operative dysmenorrhea; only 3 cases still had anemia among the 23 cases of pre-operative anemia. Compared with before treatment, patients with dysmenorrhea and anemia both significantly reduced with a statistically significant difference(P<0.01).Conclusion:TB type thermal balloon endometrial ablation has a significant efficacy with high safety for the treatment of abnormal uterine bleeding, which could have clinical promotion practice.
authors.affiliation: Department of Gynecology and Obstetrics, Affiliated Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors.forename: W
authors.initials: W
authors.lastname: Wang
authors.forename: Y
authors.initials: Y
authors.lastname: Zhai
authors.forename: Z H
authors.initials: ZH
authors.lastname: Zhang
authors.forename: Y
authors.initials: Y
authors.lastname: Li
authors.forename: Z Y
authors.initials: ZY
authors.lastname: Zhang
mesh_terms: D000568:Amenorrhea; D017115:Catheter Ablation; D004412:Dysmenorrhea; D055356:Endometrial Ablation Techniques; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D016896:Treatment Outcome; D014592:Uterine Hemorrhage