[宫腔镜检查在疑似子宫内膜癌中的应用：宫腔扩张介质的比较]
[Hysteroscopy in suspected endometrial carcinoma: a comparison among cavity-distention media].
作者信息
Guida M, Bramante S, Lavitola G, Acunzo G, Sparice S, Cirillo P, Nappi C
机构信息
Dipartimento di Ginecologia, Ostetricia e Fisiopatologia della Riproduzione Umana, Università degli Studi di Napoli Federico II.
出版信息
Tumori. 2003 Jul-Aug;89(4 Suppl):251-2.
OBJECTIVE
To evaluate satisfaction rate, efficacy and complication rate of carbon dioxide (CO2) vs normal saline as uterine distension medium for outpatient diagnostic hysteroscopy in patients with suspicious endometrial cancer.
METHODS
Thirty-eight undergoing outpatient hysteroscopy performed with carbon dioxide (group A) or normal saline (group B). Quality of vision of uterine cavity, procedure time, complications, patient discomfort, satisfaction rate have been evaluated.
RESULTS
In group B a significant reduction in abdominal pain, shoulder tip pain and a lower incidence of vasovagal reactions were observed in comparison to group A. In normal saline group we found a higher satisfaction rate and a lower operative time in comparison to the CO2 group.
CONCLUSIONS
Uterine distension with normal saline seems to have less adverse effects and is better accepted by patients.
目的
评估二氧化碳（CO₂）与生理盐水作为可疑子宫内膜癌患者门诊诊断性宫腔镜检查子宫扩张介质时的满意率、疗效及并发症发生率。
方法
38例患者接受了使用二氧化碳（A组）或生理盐水（B组）进行的门诊宫腔镜检查。评估了宫腔视野质量、手术时间、并发症、患者不适情况及满意率。
结果
与A组相比，B组腹痛、肩尖痛明显减轻，血管迷走神经反应发生率更低。与CO₂组相比，生理盐水组满意率更高，手术时间更短。
结论
生理盐水子宫扩张似乎不良反应更少，患者接受度更高。
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