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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >NovaSure endometrial ablation under local anaesthesia in an outpatient setting: An observational study
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NovaSure endometrial ablation under local anaesthesia in an outpatient setting: An observational study

机译：门诊环境下局麻下的NovaSure子宫内膜消融术：一项观察性研究

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The use of NovaSure under local anaesthesia (LA) has been described as part of efficacy trials, but its use in an outpatient setting has not previously been explored. This prospective study was conducted to determine feasibility and efficacy of NovaSure in the outpatient setting under LA. The study included all women with menorrhagia unresponsive to medical management and were agreeable for treatment under LA (n=50). The mean duration of procedure was 100 s. A total of 47 (94%) patients were discharged home the same day. Simple analgesics controlled postoperative pain in 44 (88%) patients. Seven (14%) patients gave preference for general anaesthesia for future treatment. The mean pain scores at 30, 60 and 90 min were 4.18, 4.38 and 3.85, respectively on the visual analogue scale. At follow-up, the improvement in menstrual symptoms was seen in 47 (94%) and the satisfaction rate was 43 (86%) and 47 (94%) at 4 and 6 months, respectively.
机译：已经将NovaSure在局部麻醉（LA）下的使用作为疗效试验的一部分进行了描述，但以前尚未探讨过在门诊患者中使用它的情况。这项前瞻性研究旨在确定NovaSure在洛杉矶门诊患者中的可行性和有效性。该研究包括所有对医疗管理无反应的月经过多的妇女，并同意接受LA治疗（n = 50）。程序的平均持续时间为100 s。当天共有47位患者（94％）出院。单纯镇痛药可控制44例患者的术后疼痛（88％）。七名（14％）患者首选全身麻醉以进行进一步治疗。在视觉模拟量表上，在30、60和90分钟时的平均疼痛评分分别为4.18、4.38和3.85。随访中，经期4个月和6个月时，月经症状改善了47例（94％），满意度分别为43例（86％）和47例（94％）。

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