Huang Jun, Yin Cunsi, Wang Junli
Department of Gynecology, Maanshan Maternal and Child Health Care Hospital, No. 446, Jiashan Road, Maanshan, Anhui, 243000, China.
BMC Surg. 2024 Dec 4;24(1):384. doi: 10.1186/s12893-024-02680-0.
To explore the application value of 5 Fr non-contact hysteroscopy in the diagnosis and treatment of intrauterine diseases in perimenopausal and postmenopausal women.
A total of 200 perimenopausal and postmenopausal patients who were to undergo hysteroscopy for intrauterine diseases from October 2022 to January 2024 were selected as the research objects, and the clinical data were retrospectively analyzed. According to the different treatment methods, these subjects were divided into a 5Fr non-contact hysteroscopic group (5Fr group) and a traditional hysteroscopic group (traditional group), with 100 cases in each group. The surgery-related indicators, postoperative-related indicators, intraoperative/postoperative disease diagnosis, and satisfaction of the patients in the two groups were compared.
Compared with the traditional group, the examination time of the 5Fr group was significantly shortened, and the proportion of intraoperative bleeding ≤ 5 mL was significantly increased (P < 0.05). Compared with the traditional group, the proportion of abnormal heart rate/blood pressure and nausea/vomiting, and pain score were significantly reduced in the 5Fr group (P < 0.05), while the proportion of postoperative bleeding time ≤ 1 week and postoperative abdominal pain time ≤ 2 h were significantly increased in the 5Fr group (P < 0.05). The satisfaction rate of the 5Fr group was 91.00% (41.00% relatively satisfied + 50.00% very satisfied), which was much higher than 75% (37.00% relatively satisfied + 38.00% very satisfied) in the traditional group (P < 0.05).
5Fr non-contact hysteroscopy had similar clinical effects to the traditional hysteroscopy, and the 5Fr non-contact hysteroscopy technology made up for the shortcomings of the traditional hysteroscopy, which could significantly reduce the pain and intraoperative bleeding of patients, and improve patient satisfaction.
探讨5Fr非接触式宫腔镜在围绝经期及绝经后妇女宫内疾病诊断与治疗中的应用价值。
选取2022年10月至2024年1月因宫内疾病拟行宫腔镜检查的200例围绝经期及绝经后患者作为研究对象，对其临床资料进行回顾性分析。根据治疗方法的不同，将这些受试者分为5Fr非接触式宫腔镜组（5Fr组）和传统宫腔镜组（传统组），每组100例。比较两组患者的手术相关指标、术后相关指标、术中/术后疾病诊断情况及患者满意度。
与传统组相比，5Fr组的检查时间明显缩短，术中出血量≤5 mL的比例显著增加（P<0.05）。与传统组相比，5Fr组异常心率/血压、恶心/呕吐的比例及疼痛评分明显降低（P<0.05），而5Fr组术后出血时间≤1周及术后腹痛时间≤2小时的比例明显增加（P<0.05）。5Fr组的满意度为91.00%（相对满意41.00%+非常满意50.00%），远高于传统组的75%（相对满意37.00%+非常满意38.00%）（P<0.05）。
5Fr非接触式宫腔镜与传统宫腔镜具有相似的临床效果，5Fr非接触式宫腔镜技术弥补了传统宫腔镜的不足，可显著减轻患者疼痛及术中出血，提高患者满意度。
