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首页> 外文期刊>Gynecological Surgery >Global–local anaesthesia: combining paracervical block with intramyometrial prilocaine in the fundus significantly reduces patients' perception of pain during radio-frequency endometrial ablation (Novasure®) in an office setting
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Global–local anaesthesia: combining paracervical block with intramyometrial prilocaine in the fundus significantly reduces patients' perception of pain during radio-frequency endometrial ablation (Novasure®) in an office setting

机译：全球局部麻醉：在办公室环境下，将子宫颈旁阻滞与眼底肌层内丙胺卡因联合使用可显着降低患者对射频子宫内膜消融术（Novasure®）的疼痛感

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The aim of this study was to investigate the effectiveness of combining a paracervical block with an intramyometrial block of the uterine fundus on women's perception of pain during Novasure® radio-frequency impedance-controlled endometrial ablation. The study design was a case–control study. The study was conducted in private practice/office setting. The patients were 83 premenopausal women undergoing endometrial ablation due to heavy menstrual periods. The intervention used was hysteroscopic injection of local anaesthetic into the myometrium of the uterine fundus in addition to a paracervical block. There were no adverse events as a consequence of either the anaesthesia or the ablation procedure. All women were asked 60 s into the active ablation procedure to estimate their perception of pain on a scale from 0 to 10. Fifty-seven women (69%) scored a 0, and 77 (92%) scored 2 or less. None needed to use recovery room facilities after the procedure, and none made use of the access to performing surgeon the evening and night after the procedure. Combining a traditional paracervical block with a transhysteroscopic injection of local anaesthesia into the subendometrial myometrium of the fundus of the uterus significantly reduces women's perception of pain during radio-frequency impedance-controlled endometrial ablation.
机译：这项研究的目的是研究在Novasure®射频阻抗控制的子宫内膜消融术中，将子宫颈旁阻滞与子宫底肌层内阻滞相结合对女性疼痛感的影响。研究设计是一个病例对照研究。该研究是在私人诊所/办公室环境中进行的。该患者为83名绝经前妇女，因月经期过长而接受子宫内膜切除术。宫腔镜除宫旁旁阻滞外，还使用宫腔镜将局部麻醉剂注射入子宫底肌层。麻醉或消融手术均无不良事件发生。所有女性均被要求在60 s内进行主动消融手术，以从0到10的等级来评估她们对疼痛的感觉。五十七名女性（69％）的评分为0，而77名（92％）的评分为2分或更低。手术后，没有人需要使用康复室的设施，手术后的晚上和晚上，也没有人利用外科医生做手术。将传统的子宫颈旁阻滞与经宫腔镜子宫内膜下子宫内膜子宫内膜注射局部麻醉相结合，可显着降低妇女在射频阻抗控制的子宫内膜消融过程中的疼痛感。

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