Ganem Alfredo Saad, López Ortiz Carlos Gerardo Salazar, Alva Carlos Andrés Lejtik, Bernal Pedro Quintero, Dorantes Jorge Palma
Ginecoobstetra, Hospital Español de México, Grenada.
Ginecol Obstet Mex. 2006 Feb;74(2):104-9.
To demonstrate the efficacy and feasibility of the office hysteroscopy in the treatment of the endouterine pathologies.
retrospective, descriptive and observational.
We included all the office hysteroscopies performed since February-2000 to August-2004 (n=84) in a private medical office. We performed 32 diagnostic procedures without anesthesia and 52 operative procedures with anesthesia (I.V. sedation). We used a Karl Storz diagnostic telescope and a Bettocchi operative telescope.
Postoperative care was in the office since 90 minutes and all patients went home without complications, Mean age of the patients was 38+/-10 years. The indications to perform the procedure were infertility and abnormal transvaginal bleeding. There were not complications. All of the diagnostic procedures were done without anesthesia and we verified patient satisfaction with a pain store since 1 to 10 points. Twenty patients could get pregnant after the procedure and in two patients we detected endometrial carcinoma.
With these results, we can assume that office hysteroscopy is a procedure with minimal complications when is performed by expert hands and with excellent patients' satisfaction and benefit.
证明门诊宫腔镜检查在治疗子宫内病变中的有效性和可行性。
回顾性、描述性和观察性研究。
我们纳入了2000年2月至2004年8月在一家私人诊所进行的所有门诊宫腔镜检查（n = 84）。我们进行了32例无麻醉的诊断性操作和52例有麻醉（静脉镇静）的手术操作。我们使用了卡尔·史托斯诊断望远镜和贝托奇手术望远镜。
术后护理在诊所进行90分钟，所有患者均无并发症回家。患者的平均年龄为38±10岁。进行该操作的指征为不孕和经阴道异常出血。无并发症发生。所有诊断性操作均在无麻醉的情况下完成，我们通过1至10分的疼痛评分来验证患者满意度。20例患者术后怀孕，2例患者检测出子宫内膜癌。
基于这些结果，我们可以认为，由专业人员进行门诊宫腔镜检查时并发症极少，患者满意度高且受益良好。
