Perez-Medina T, Bajo J M, Martinez-Cortes L, Castellanos P, Perez de Avila I
Department of Obstetrics and Gynecology, Getafe University Hospital, Madrid, Spain.
Int J Gynaecol Obstet. 2000 Oct;71(1):33-8. doi: 10.1016/s0020-7292(00)00249-6.
To compare CO(2) and normal saline as distention media in office diagnostic hysteroscopy.
The outcome of more than 6000 office hysteroscopies was analyzed. We used carbon dioxide or saline as distension medium. Minor hysteroscopic techniques were performed when indicated.
The major indication was abnormal uterine bleeding (45%). Satisfactory hysteroscopy was achieved in 92. 4% with CO(2) and in 98.3% with saline (P<0.05). Local anesthesia was used in 54 patients (1.5%) with CO(2) and in three patients (0. 1%) with saline (P<0.001). Four hundred and two women (16.3%) underwent hysteroscopic procedures under saline hysteroscopy. Endometrial polyps were removed in 281 patients, 75 IUDs were removed, 14 fibroids were extracted, uterine septa were excised in 11 cases and mild and moderate adhesions were transected in 21 patients.
Saline office diagnostic hysteroscopy offers at least all the advantages of the CO(2) hysteroscopy, and gives the possibility to easily 'find and treat in situ' many of the lesions observed.
比较二氧化碳和生理盐水作为门诊诊断性宫腔镜检查的膨宫介质。
分析6000余例门诊宫腔镜检查的结果。我们使用二氧化碳或生理盐水作为膨宫介质。在有指征时采用微创宫腔镜技术。
主要指征为异常子宫出血（45%）。二氧化碳组宫腔镜检查满意度为92.4%，生理盐水组为98.3%（P<0.05）。二氧化碳组54例患者（1.5%）使用局部麻醉，生理盐水组3例患者（0.1%）使用局部麻醉（P<0.001）。402名女性（16.3%）在生理盐水宫腔镜检查下接受了宫腔镜手术。281例患者切除了子宫内膜息肉，取出75个宫内节育器，摘除14个肌瘤，11例切除子宫纵隔，21例患者切断轻中度粘连。
生理盐水门诊诊断性宫腔镜检查至少具有二氧化碳宫腔镜检查的所有优点，并且有可能轻松地“原位发现并治疗”许多观察到的病变。
