微创医学2026，Vol.21Issue(1)：77-82,6.DOI:10.11864/j.issn.1673.2026.01.11
微波消融术中宫腔持续灌注生理盐水对子宫腺肌病患者子宫内膜的保护作用
Protective effect of continuous intrauterine physiological saline infusion during microwave ablation on endometrium in adenomyosis patients
姜铖 1常建东 2田源 1叶丽娥 1陈雅丽1
作者信息
- 1. 厦门市中医院超声医学科,福建省 厦门市 361009
- 2. 厦门大学附属中山医院超声医学科,福建省 厦门市 361004
- 折叠
摘要
Abstract
Objective To investigate the protective effect of continuous intrauterine physiological saline infusion on endometrium during microwave ablation for adenomyosis.Methods A total of 46 patients with adenomyosis who underwent microwave ablation were enrolled as the study subjects.They were divided into a study group(n=26)and a control group(n=20)by using the random number table method.The control group received microwave ablation alone,while the study group received additional intrauterine physiological saline perfusion on the basis of conventional microwave ablation.Endometrial perfusion injury,endometrial dehydration and ablation rate at 1 week after operation,as well as the occurrence of adverse reactions during the operation and at 1-year follow-up were compared between the two groups.Results The incidence and severity of endometrial perfusion injury,as well as the degree of endometrial dehydration in the study group were lower or less than those in the control group(P<0.05).There were no statistically significant differences in the ablation rate or the overall incidence of adverse reactions during the operation and at 3 months after operation between the two groups(P>0.05).Conclusion Continuous intrauterine physiological saline perfusion during microwave ablation for adenomyosis can reduce endometrial injury and alleviate the degree of endometrial dehydration,with no significant effect on the ablation efficacy.关键词
子宫腺肌病/微波消融/子宫内膜/生理盐水/灌注治疗/热损伤防护Key words
Adenomyosis/Microwave ablation/Endometrium/Physiological saline/Perfusion therapy/Thermal injury protection引用本文复制引用
姜铖,常建东,田源,叶丽娥,陈雅丽..微波消融术中宫腔持续灌注生理盐水对子宫腺肌病患者子宫内膜的保护作用[J].微创医学,2026,21(1):77-82,6.
