Lin B L, Tomomatsu M, Kuribayashi Y, Saitoh J, Fukuda T, Seki K, Iwata Y
Department of Obstetrics and Gynecology, Kawasaki Municipal Hospital.
Nihon Sanka Fujinka Gakkai Zasshi. 1988 Nov;40(11):1733-9.
A new operating hysteroscopic fiberscope consisting of soft and rigid parts (4.8mm outer diameter) was developed with the support of Fuji Photo Optical Company. The working part of the scope can be divided into three sections: A flexible soft front section, a rotary rigid middle section and a flexible self retained semirigid rear section. With these functional parts the intrauterine target can be approached directly to perform the following operations. 1. Directed intrauterine biopsy. Thirty-five patients diagnosed as having endometrial polyp (13), submucous myoma (8), endometrial hyperplasia (4), endocervical polyp (3), endometrial carcinoma (2) and others (5) underwent direct biopsy with hysteroscopic control. No cervical dilatation or anesthesia was necessary. 2. Transcervical recanalization. In six cases of proximal tubal occlusion, a ureteral catheter or a percutaneous coronary balloon angiocatheter was introduced into the tubal ostium of the obstructed side to resolve the occlusion successfully with concomitant laparoscopy. 3. Hysteroscopic chorionic villus sampling. Chorionic villus sampling was performed with a ureteral catheter under direct hysteroscopic control and ultrasound guidance in eighteen pregnant women at from seven to fourteen gestational weeks. In fifteen cases, the samplings were performed satisfactory. 4. Removal of a lost IUD. Three cases of lost IUD underwent hysteroscopic removal without difficulty. Our results have proved that this scope is a very useful tool for intrauterine operations.
在富士写真光机公司的支持下，研发出了一种新型的手术用宫腔镜纤维镜，其由柔软和刚性部分组成（外径4.8毫米）。该纤维镜的工作部分可分为三个部分：一个柔性的软前端部分、一个可旋转的刚性中间部分和一个柔性的自固定半刚性后端部分。借助这些功能部件，可以直接接近子宫内目标以执行以下操作。1. 直视下子宫活检。35例被诊断为患有子宫内膜息肉（13例）、黏膜下肌瘤（8例）、子宫内膜增生（4例）、宫颈息肉（3例）、子宫内膜癌（2例）及其他（5例）的患者在宫腔镜控制下进行了直接活检。无需宫颈扩张或麻醉。2. 经宫颈输卵管再通术。在6例近端输卵管阻塞的病例中，将输尿管导管或经皮冠状动脉球囊血管导管插入阻塞侧的输卵管开口处，并在腹腔镜检查的同时成功解除了阻塞。3. 宫腔镜绒毛取样。在18名妊娠7至14周的孕妇中，在宫腔镜直视控制和超声引导下，用输尿管导管进行绒毛取样。15例取样操作顺利。4. 取出丢失的宫内节育器。3例宫内节育器丢失的患者顺利接受了宫腔镜取出术。我们的结果证明，该纤维镜是子宫内手术的一种非常有用的工具。
