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冷冻探针在门诊宫腔镜息肉和肌瘤切除术的应用。

Usefulness of Cryoprobe in Office Hysteroscopy for Removal of Polyps and Myomas.

机构信息

Gynaecology and Oncological Gynaecology Department, Military Medical Institute, Szaserów 128, Warsaw 04-141, Poland.

Department of General, Oncological, Metabolic and Thoracic Surgery, Military Medical Institute, Szaserów 128, Warsaw 04-141, Poland.

出版信息

Biomed Res Int. 2018 Aug 26;2018:7104892. doi: 10.1155/2018/7104892. eCollection 2018.

DOI:10.1155/2018/7104892
PMID:30225262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6129319/
Abstract

Hysteroscopy is a gold standard in 21-century gynaecology for both diagnosis and treatment procedures of intrauterine pathologies. Miniaturisation of the equipment and better techniques of performing this procedure allowed it to become the gold standard. Nevertheless, hysteroscopy has its limitations, which is the size of the endometrial polyps or submucous myomas. We have invented a new device for the 5Fr working channel hysteroscopes for possessing and resecting intrauterine structures: the cryoprobe. The retrospective cryobiopsy study presented here was conducted at the Department of Gynaecology and Oncological Gynaecology, Military Institute of Medicine in Warsaw, Poland, from October 2017 to January 2018. Its purpose was to assess the usefulness of the new device in office hysteroscopy for the removal of polyps and myomas with a diameter over 10 mm. Thirteen patients with an initial diagnosis of an endometrial polyp or submucous myoma were enrolled in the trial. All procedures took place in day-surgery settings, with a total resection of the pathological intrauterine structure, without complications. The application of the cryoprobe may enhance the usefulness of office hysteroscopy, without extending the procedure. The cryoprobe efficiency is still under research in a bigger group.

摘要

宫腔镜检查在 21 世纪的妇科领域是诊断和治疗宫内病变的金标准。设备的小型化和操作技术的改进使其成为金标准。然而，宫腔镜检查也有其局限性，即子宫内膜息肉或黏膜下肌瘤的大小。我们发明了一种新的设备，用于 5Fr 工作通道宫腔镜，用于拥有和切除宫内结构：冷冻探针。本回顾性冷冻活检研究在波兰华沙军事医学研究所妇产科进行，时间为 2017 年 10 月至 2018 年 1 月。目的是评估该新设备在办公室宫腔镜下用于切除直径超过 10mm 的息肉和肌瘤的实用性。该试验纳入了 13 名最初诊断为子宫内膜息肉或黏膜下肌瘤的患者。所有手术均在日间手术环境下进行，实现了病理性宫内结构的完全切除，无并发症发生。冷冻探针的应用可能会增强办公室宫腔镜检查的实用性，而不会延长手术时间。冷冻探针的效率仍在更大的人群中进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/4db9f547cd67/BMRI2018-7104892.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/9a979c247a48/BMRI2018-7104892.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/bf80084dca7d/BMRI2018-7104892.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/80033b97f021/BMRI2018-7104892.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/ea65e3583fa0/BMRI2018-7104892.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/e29d96ea678c/BMRI2018-7104892.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/4db9f547cd67/BMRI2018-7104892.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/9a979c247a48/BMRI2018-7104892.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/bf80084dca7d/BMRI2018-7104892.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/80033b97f021/BMRI2018-7104892.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/ea65e3583fa0/BMRI2018-7104892.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/e29d96ea678c/BMRI2018-7104892.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e57/6129319/4db9f547cd67/BMRI2018-7104892.006.jpg

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J Thorac Dis. 2017 Jul;9(7):2186-2203. doi: 10.21037/jtd.2017.06.96.
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Modern operative hysteroscopy.现代手术宫腔镜检查
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Cryobiopsy: should this be used in place of endobronchial forceps biopsies?冷冻活检：是否应以此替代支气管内活检钳活检？
Biomed Res Int. 2013;2013:730574. doi: 10.1155/2013/730574. Epub 2013 Aug 27.
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Varicose veins.静脉曲张
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