Al-Husban Naser, Abu Rokbeh Rana
Faculty of Medicine, University of Jordan, Amman, Jordan.
Jordan University Hospital, Amman, Jordan.
J Int Med Res. 2019 Oct;47(10):5028-5036. doi: 10.1177/0300060519864494. Epub 2019 Jul 29.
This study was performed to the prevalence, indications, effectiveness, outcomes, and complications of with an emphasis on the need for further training and facilities
This was a retrospective study of operative procedures
The was hysteroscopic in The most common indication was menorrhagia in (73.33%) were treated under general anesthesia and (26.67%) under spinal anesthesia. fibroids (48.4%) were 3 to 4 cm in size and (35.5%) were >4 cm. polyps (50%) were 3 to 4 cm. The mean uterine size and endometrial thickness were 8.9 ± 2.16 weeks and 11.1 ± 3.01 mm, respectively. The mean preoperative hemoglobin level was 10.9 g/dL and the mean estimated blood loss was 65.9 ± 48.7 mL (range, 10–200 mL). (60.3%) with heavy bleeding improved with no need for further medical or surgical intervention. (44%) with reproductive issues conceived or regained their normal . .
Operative hysteroscopy an effective safe option in certain uterine pathologies. Specific training in operative hysteroscopy should be promoted to make this type of surgery an integral part of gynecological services in the developing world.
本研究旨在探讨[具体手术名称]的患病率、适应证、有效性、结局及并发症，重点关注进一步培训的必要性和[相关]设施情况。
这是一项对手术[操作]程序的回顾性[研究类型]研究。
手术为宫腔镜[手术名称]。最常见的适应证是月经过多，[具体比例1]（73.33%）在全身麻醉下接受治疗，[具体比例2]（26.67%）在脊髓麻醉下接受治疗。子宫肌瘤（48.4%）大小为3至4厘米，[另一肌瘤情况比例]（35.5%）大于4厘米。息肉（50%）大小为3至4厘米。子宫平均大小和子宫内膜厚度分别为8.9±2.16周和11.1±3.01毫米。术前平均血红蛋白水平为10.9克/分升，平均估计失血量为65.9±48.7毫升（范围为10 - 200毫升）。[出血严重情况比例1]（60.3%）的严重出血情况得到改善，无需进一步药物或手术干预。[生殖问题情况比例]（44%）有生殖问题的患者受孕或恢复了正常[生理状态]。
手术宫腔镜检查在某些子宫病变中是一种有效且安全的选择。应推广手术宫腔镜检查的特定培训，以使这类手术成为发展中国家妇科服务的一个组成部分。
