Radiofrequency Ablation Of The Film Inside The Uterus-(Nova Sure) Clinical Case Analysis For The Treatment Of Abnormal Uterine Bleeding

Objective:(Nova Sure) endometrial radiofrequency ablation efficacy and significance for the treatment of abnormal uterine bleeding.Abnormal Uterine Bleeding(Abnormol Uterine Bleeding AUB) may be required is a common symptom of disease of department of gynaecology,Adolescence can happen at any stage to menopause women.Usually take medication and surgery,Some patients due to drug treatment is invalid or choose a hysterectomy due to unfavorable oral drugs.Since Nova Sure introduced in 2010, since in our country,Nullify drug treatment of abnormal uterine bleeding patients can avoid the effects of the surgery,Nullify drug treatment of abnormal uterine bleeding patients can avoid the effects of the surgery,Its design principle is unique, simple operation,Is a kind of safe and effective minimally invasive treatment of abnormal uterine bleeding in the operation.Methods:The object of study:Since December 2013, were retrospectively analyzed in sep 2014, dalian medical university second affiliated hospital of obstetrics and gynecology take shu treatment in 17 patients with abnormal uterine bleeding, 7cases of dysfunctional uterine bleeding, anemia, 7 cases(mild anemia 0 cases, 4 cases were moderate anemia(3 cases), severe anemia), with serious medical problems caused by abnormal uterine bleeding 10 cases, including 7cases of blood system diseases(myelodysplastic syndrome in 2 case, 3cases of idiopathic thrombocytopenia,aplastic anemia, 2 case), 3 cases of acute renal failure.10 cases of anemia(mildanemia in 3 patients, 6 patients with moderate anemia, severe anemia, 1 case).After the 17 patients were excluded contraindications to shu endometrial radiofrequency treatment, 17 cases of patients with surgery, intraoperative and postoperative complications, menstrual changes, anemia, improve conditions for clinical analysis.Results:17 cases of patients were under short-term intravenous anesthesia surgery, surgery all goes well, the surgery time to 85-109- S, an average of 95.88 + /-7.14 S, intraoperative blood loss were less than 10 ml,In addition to a few patients with mild postoperative pain, 17 patients without painkillers, uterus perforation,without fever and caused by intrauterine infection and adjacent tissues and organs injury.Placement after hysteroscopy check endometrial show focal yellow, mesh electrodes can lower abdominal adhesion partial endometrium.Give polysaccharide iron compound capsule improve anemia postoperatively in patients with anemia.Length of hospital stay from 1 to 5 days, an average of 2.47 + /- 1.18 days out of the hospital, postoperative follow-up of 1, 3, 6 months, amenorrhoea rate was 70%,menstrual reduce 100%, patients’ satisfaction was 100%.Conclusion:Radiofrequency ablation of the film inside the uterus-(Novasure)for the treatment of abnormal uterine bleeding safety, high efficiency, shorter operation time, intraoperative blood loss, less trauma, pain, shorter hospitalization time, postoperative recovery fast.Can be used as a treatment of abnormal uterine bleeding and merge medical disease treatment of a choice.