Lin B L, Miyamoto N, Tomomatsu M, Horikoshi H, Nakamura H, Iwata Y
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Apr;39(4):649-54.
Hysteroscopy is a diagnostic method for intrauterine lesion. Most kinds of hysteroscope are rigid in type. Cervical dilatation and insertion of the trocar are necessary for hysteroscopy. These procedures can be very painful to the patient. Also subsequent blood clotting and injury to the endometrium may interfere with the diagnosis. With the help of Fuji Photo Optical Company, a new flexible hysterofiberscope (3.7 mm in diameter) was developed. The scope is divided into three portions; a front flexible part, a rigid middle part and a soft rear part. Cervical dilatation and anesthesia were not required even in a primiparous woman. The operator can observe the cervical canal, the uterine cavity and the tubal ostium very easily in a comfortable position. From Nov. 85 to Sep. 86 we carried out hysteroscopy in 411 patients with this new scope. The fluid medium which we used was a solution of 10% dextrose in water. The indications for hysteroscopy were abnormal uterine bleeding (187 cases), uterine myoma (80 cases), sterility (52 cases), post-transcervical surgery (22 cases) and others (70 cases). No complications were encountered during or after the procedure. The results were satisfactory. This new flexible hysterofiberscope has been proved an efficient tool for intrauterine diagnosis.
宫腔镜检查是一种用于诊断子宫内病变的方法。大多数类型的宫腔镜是硬质的。宫腔镜检查需要进行宫颈扩张并插入套管针。这些操作可能会给患者带来很大痛苦。此外，随后的血液凝固和子宫内膜损伤可能会干扰诊断。在富士写真光机公司的帮助下，开发出了一种新型的可弯曲纤维宫腔镜（直径3.7毫米）。该内镜分为三个部分：前端可弯曲部分、中间硬质部分和后端柔软部分。即使是初产妇也无需进行宫颈扩张和麻醉。操作者可以在舒适的体位下非常轻松地观察宫颈管、子宫腔和输卵管开口。从1985年11月到1986年9月，我们使用这种新型内镜对411例患者进行了宫腔镜检查。我们使用的液体介质是10%葡萄糖水溶液。宫腔镜检查的适应证包括异常子宫出血（187例）、子宫肌瘤（80例）、不孕症（52例）、经宫颈手术后（22例）及其他（70例）。在操作过程中及操作后均未出现并发症。结果令人满意。这种新型可弯曲纤维宫腔镜已被证明是一种有效的子宫内诊断工具。
