科研动态期刊摘要
[评论] 保留子宫：避免子宫切除术的有效双重疗法
The Lancet · 2026-10-30
摘要
月经过多是一种具有挑战性的疾病，当常规治疗无效时，常最终导致子宫切除术。对于不希望未来生育的女性，子宫内膜消融术提供了一种有效、保留子宫的替代方案，其围手术期发病率低于子宫切除术，且恢复更快。1–3 然而，该手术的持久性可能有所不同。残留的子宫内膜可导致复发性出血或周期性盆腔疼痛，需进一步治疗，约十分之一的女性在2年内接受子宫切除术。
English
[Comment] Preserving the uterus: an effective dual therapy to avoid hysterectomy
Heavy menstrual bleeding is a challenging condition that, when refractory to conventional treatment, frequently culminates in hysterectomy. Endometrial ablation offers an effective, uterus-sparing alternative for women who do not desire future childbearing, with lower perioperative morbidity and faster recovery than hysterectomy.1–3 However, the durability of this procedure can be variable. Residual endometrium can result in recurrent bleeding or cyclical pelvic pain requiring further treatment, with approximately one in ten women undergoing hysterectomy within 2 years.