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目的： 采用子宫内膜射频消融术（ＲＦＡＥ）治疗功能失调性子宫出血（功血）． 方法： 用ＲＦＡＥ治疗３４例功血患者的指征包括：子宫出血；年龄３５岁～５５岁；无生育要求；需望保留子宫；宫颈附件及子宫大小基本正常；无生殖系统恶性肿瘤和出凝血功能障碍． 将频率为５５０ ｋＨｚ射频电源与宫腔刮匙相连结并经其将射频电流介入子宫腔，使基底层内膜加热至５５℃～５８℃，在清刮宫腔的同时消融内膜． ３４例患者均用４０Ｗ～５０ Ｗ 治疗５ ｍ ｉｎ～７ ｍ ｉｎ，一次完成． 结果： 其闭经和月经明显减少者分别为５９％ 和３５％ ． 总成功率为９４％ ． 结论：ＲＦＡＥ治疗功血简单安全，快速有效，可替代子宫切除，也明显优于目前其它子宫内膜切除术．
Objective: To treat dysfunctional uterine bleeding (DUB) with endometrial radiofrequency ablation (RFAE). METHODS: Indications for the treatment of 34 cases of dysfunctional uterine bleeding with RFAE included: bleeding from the uterus; age 35-55; absence of fertility requirements; maintenance of the uterus; maintenance of cervical attachment and uterine size; absence of reproductive system malignancy and coagulation disfunction. The RF power of 550 kHz was connected with the uterine curette and intervening the RF current into the uterine cavity. The basilar endometrium was heated to 55 ° C ~ 58 ° C, and the intima was ablated while the uterine cavity was being cleaned. All 34 patients were treated with 40 W ~ 50 W for 5 m in ~ 7 m in. Results: Amenorrhea and menstruation were significantly reduced were 59% and 35%. Assembly success rate was 94%. Conclusion: RFAE treatment of blood simple, safe, fast and effective alternative to hysterectomy, but also significantly better than the current other endometrial resection.