The Journal of the American Association of Gynecologic Laparoscopists · 2002
Hysteroscopic treatment of intrauterine lesions in premenopausal and postmenopausal women.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Shushan Asher, Revel Ariel, Laufer Neri, Rojansky Nathan
Аннотация
STUDY OBJECTIVE: To compare the safety and efficacy of hysteroscopic surgery in the management of intrauterine lesions in premenopausal and postmenopausal women and, in particular, to investigate whether glycine absorption is different between these populations.
DESIGN: Comparative study (Canadian Task Force classification II-2).
SETTING: Tertiary care university hospital.
PATIENTS: Thirty postmenopausal and 78 premenopausal women with intrauterine polyps or myomas.
INTERVENTION: Hysteroscopic myomectomy or polypectomy.
MEASUREMENTS AND MAIN RESULTS: One hundred eight procedures were completed successfully by hysteroscopy; in two cases myomectomy was completed in a second operation for a deeply embedded myoma. No major complications occurred in either group. Median operating time, mean glycine absorption, and median postoperative hospital stay were not significantly different between groups. During mean follow-up of 15 months (range 1-39 mo), four women underwent hysterectomy (1 for endometrial cancer, 1 for complex hyperplasia with atypia, 2 for pelvic pain and menorrhagia).
CONCLUSION: Hysteroscopic surgery is an effective and safe therapeutic option for intrauterine lesions regardless of a woman's menopausal status.
DESIGN: Comparative study (Canadian Task Force classification II-2).
SETTING: Tertiary care university hospital.
PATIENTS: Thirty postmenopausal and 78 premenopausal women with intrauterine polyps or myomas.
INTERVENTION: Hysteroscopic myomectomy or polypectomy.
MEASUREMENTS AND MAIN RESULTS: One hundred eight procedures were completed successfully by hysteroscopy; in two cases myomectomy was completed in a second operation for a deeply embedded myoma. No major complications occurred in either group. Median operating time, mean glycine absorption, and median postoperative hospital stay were not significantly different between groups. During mean follow-up of 15 months (range 1-39 mo), four women underwent hysterectomy (1 for endometrial cancer, 1 for complex hyperplasia with atypia, 2 for pelvic pain and menorrhagia).
CONCLUSION: Hysteroscopic surgery is an effective and safe therapeutic option for intrauterine lesions regardless of a woman's menopausal status.