Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Fertil Steril. 2010 Sep;94(4):1189-1194. doi: 10.1016/j.fertnstert.2009.07.994. Epub 2009 Aug 14.
To assess pain and patient satisfaction with office-based hysteroscopic sterilization.
This prospective, observational study was designed to assess patient pain perception and satisfaction with office-based hysteroscopic sterilization using the Essure device (Conceptus, Mountain View, CA).
Faculty practice office at an inner-city urban medical center.
PATIENT(S): Women seeking hysteroscopic sterilization.
INTERVENTION(S): Office hysteroscopic sterilization under local anesthesia.
MAIN OUTCOME MEASURE(S): Pain assessed at the time of the procedure by a 0-10 visual scale and satisfaction by a 1-5 scale.
RESULT(S): From June 2003 to June 2006, 209 patients were recruited. The mean scores for average procedural pain, most procedural pain, and average menstrual pain were 2.6+/-2.1, 3.3+/-2.5, and 3.6+/-2.6, respectively. Standardized pain scores revealed that 149 subjects (70%) experienced average pain that was less than or equal to the pain experienced with their menses. Mean satisfaction rating for the procedure was 4.7+/-0.71.
CONCLUSION(S): Office-based hysteroscopic sterilization performed with local anesthesia alone is well tolerated, and patients are satisfied with this method for permanent sterilization.
评估基于诊室的宫腔镜绝育术的疼痛和患者满意度。
本前瞻性观察研究旨在评估使用 Essure 器械（Conceptus，Mountain View，CA）进行基于诊室的宫腔镜绝育术时患者的疼痛感知和满意度。
城市内城区医疗中心的教师执业办公室。
寻求宫腔镜绝育术的女性。
在局部麻醉下进行诊室宫腔镜绝育术。
通过 0-10 视觉量表评估手术时的疼痛，通过 1-5 量表评估满意度。
从 2003 年 6 月至 2006 年 6 月，共招募了 209 名患者。平均手术过程中的平均疼痛评分、最严重疼痛评分和平均月经疼痛评分为 2.6+/-2.1、3.3+/-2.5 和 3.6+/-2.6。标准化疼痛评分显示，149 名患者（70%）经历的平均疼痛程度低于或等于月经期间的疼痛程度。对手术的平均满意度评分为 4.7+/-0.71。
单独使用局部麻醉进行基于诊室的宫腔镜绝育术是可以耐受的，患者对这种永久性绝育方法感到满意。
