McIlwaine Kate, Readman Emma, Cameron Melissa, Maher Peter
Department of Endosurgery, Mercy Hospital for Women, Heidelberg, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2009 Dec;49(6):650-2. doi: 10.1111/j.1479-828X.2009.01096.x.
Ambulatory hysteroscopy is a safe, reliable and cost-effective alternative to hysteroscopy under a general anaesthetic for the diagnosis of abnormal uterine bleeding.
The objective of this study was to assess which factors influenced patients' willingness to attend for future outpatient hysteroscopy. The outpatient hysteroscopy service commenced at the Mercy Hospital for Women in 2000. It provides women with the opportunity to have the cause of abnormal uterine bleeding diagnosed in an outpatient setting.
A prospective audit was conducted of 283 women attending for outpatient hysteroscopy at the Mercy Hospital for Women over a period of almost five years (May 2003 through February 2008).
Of the women audited, 88.7% stated that they would accept the procedure in future, whilst 11.3% would not. There was a significant difference between the two groups with respect to their median visual analogue pain scale (VAS) pain scores during the procedure (3.00 versus 6.50 P < 0.0001) with the higher score in the group who would not re-attend for the procedure. There was also a significant difference between the two groups with respect to the change in median VAS score from pain anticipated to pain experienced (0.00 versus 3.50 P = 0.0001). The rate of unsuccessful procedures was significantly higher (40.6% versus 0.8%P < 0.05) in future non-attendees as well as a higher rate of clinical vasovagal episodes (25% versus 5.2%P = 0.01) in women who stated that they would not re-attend for the procedure. Preprocedure analgesia and type of anaesthetic administered during the procedure did not seem to influence whether women would attend for outpatient hysteroscopy in future.
The acceptability rate for women attending for outpatient hysteroscopy during the audit period was 88.7%. Pain was a significant determinant of procedure acceptability; however, the acceptability rate was not influenced by analgesia or type of anaesthetic administered.
门诊宫腔镜检查是一种安全、可靠且具有成本效益的替代方法，可替代全身麻醉下的宫腔镜检查用于诊断异常子宫出血。
本研究的目的是评估哪些因素会影响患者未来接受门诊宫腔镜检查的意愿。门诊宫腔镜检查服务于2000年在仁慈妇女医院开始。它为女性提供了在门诊环境中诊断异常子宫出血原因的机会。
对仁慈妇女医院近五年（2003年5月至2008年2月）接受门诊宫腔镜检查的283名女性进行了前瞻性审计。
在接受审计的女性中，88.7%表示她们将来会接受该手术，而11.3%表示不会。两组在手术过程中的视觉模拟疼痛量表（VAS）疼痛评分中位数存在显著差异（3.00对6.50，P<0.0001），不打算再次接受手术的组评分更高。两组在VAS评分中位数从预期疼痛到实际经历疼痛的变化方面也存在显著差异（0.00对3.50，P = 0.0001）。未来不参与者的手术失败率显著更高（40.6%对0.8%，P<0.05），以及表示不会再次接受手术的女性中临床血管迷走神经发作率更高（25%对5.2%，P = 0.01）。术前镇痛和手术过程中使用的麻醉类型似乎并未影响女性未来是否会接受门诊宫腔镜检查。
在审计期间接受门诊宫腔镜检查的女性的接受率为88.7%。疼痛是手术可接受性的重要决定因素；然而，接受率不受镇痛或所使用的麻醉类型的影响。
Zotero 插件