Wisawasukmongchol W, Bunyavejchevin S, Veeranarapanich S, Suwajananakorn S, Limpaphayom K K
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2001 Jun;84 Suppl 1:S321-5.
We reported our experience and results of diagnostic hysteroscopy performed on 294 patients between June 1994 and May 2000 at the Gynecologic Endoscopy Unit, King Chulalongkorn Memorial Hospital. Diagnostic hysteroscopy was performed successfully in 286 patients (97.3%), allowing thorough inspection of the uterine cavity. Cervical dilatation was required in 146 patients (49.6%). The most common indication was endometrial polyps (34.4%) followed by infertility (19.4%) and abnormal uterine bleeding (14.9%), respectively. Each of the hysteroscopic findings accounted for 103 patients (35%) in endometrial polyps and normal endometrium. The procedure failed in 8 patients (2.71%) due to uterine perforation. In conclusion, diagnostic hysteroscopy should be considered as a safe, effective and successful investigation procedure for suspected intrauterine pathology.
我们报告了1994年6月至2000年5月在朱拉隆功国王纪念医院妇科内镜科对294例患者进行诊断性宫腔镜检查的经验和结果。286例患者（97.3%）成功进行了诊断性宫腔镜检查，得以全面检查宫腔。146例患者（49.6%）需要进行宫颈扩张。最常见的适应证分别为子宫内膜息肉（34.4%）、不孕症（19.4%）和异常子宫出血（14.9%）。宫腔镜检查发现子宫内膜息肉和正常子宫内膜各占103例患者（35%）。8例患者（2.71%）因子宫穿孔导致手术失败。总之，诊断性宫腔镜检查应被视为一种用于怀疑子宫内病变的安全、有效且成功的检查方法。
