Arch Gynecol Obstet. 2013 Dec;288(6):1355-9. doi: 10.1007/s00404-013-2932-7. Epub 2013 Jun 25.
To evaluate the successful rate and patient acceptance of different-sized hysteroscope in office hysteroscopy.
We retrospectively evaluated 900 office hysteroscopy performed in ambulatory setting using three different hysteroscopes: 5 mm Hamou II (n = 300), 5 mm Bettocchi (n = 300) and 4 mm Bettocchi (n = 300). Endpoints of our study were the successful rate of hysteroscopy, the eventual side effects/complication and the pain intensity experience from the patients using visual analog scale (VAS).
Use of 4 mm Bettocchi leads to a higher rate of successfully performed hysteroscopy (99%, n = 297) and statistically significant when compared to the 5 mm Hamou (95%, n = 285) and to the 5 mm Bettocchi (96%, n = 288) (4 mm Bettocchi vs. 5 mm Bettocchi p < 0.05; 4 mm Bettocchi vs. 5 mm Hamou II p < 0,001; 5 mm Bettocchi vs. 5 mm Hamou II ns). Moreover, the VAS score was higher using 5 mm Hamou II (5.72 ± 1.99) and statistically significant when compared to the 4 mm Bettocchi (3.06 ± 2.14) and to the 5 mm Bettocchi (4.27 ± 1.88) (A vs. B p < 0.05; A vs. C p < 0.001; B vs. C p < 0.001).
Our result suggests that the hysteroscope size plays a pivotal role in the acceptance and for the success of office hysteroscopy.
评估不同大小宫腔镜在门诊宫腔镜检查中的成功率和患者接受度。
我们回顾性评估了在门诊环境下使用三种不同宫腔镜进行的 900 例门诊宫腔镜检查：5mm Hamou II（n=300）、5mm Bettocchi（n=300）和 4mm Bettocchi（n=300）。本研究的终点为宫腔镜检查的成功率、最终的副作用/并发症以及患者使用视觉模拟评分（VAS）的疼痛强度。
使用 4mm Bettocchi 导致宫腔镜检查成功率更高（99%，n=297），与 5mm Hamou（95%，n=285）和 5mm Bettocchi（96%，n=288）相比具有统计学意义（4mm Bettocchi 与 5mm Bettocchi 相比，p<0.05；4mm Bettocchi 与 5mm Hamou II 相比，p<0.001；5mm Bettocchi 与 5mm Hamou II 相比，ns）。此外，使用 5mm Hamou II 的 VAS 评分更高（5.72±1.99），与 4mm Bettocchi（3.06±2.14）和 5mm Bettocchi（4.27±1.88）相比具有统计学意义（A 与 B 相比，p<0.05；A 与 C 相比，p<0.001；B 与 C 相比，p<0.001）。
我们的结果表明，宫腔镜的大小在门诊宫腔镜检查的接受度和成功率方面起着关键作用。
