Steffensen A J, Schuster M
Kvinneklinikken Nordland Sentralsykehus, Bodø.
Tidsskr Nor Laegeforen. 1995 Apr 20;115(10):1228-9.
A new technique for hysteroscopic visualisation of the uterine cavity has significantly increased the accuracy of diagnosing intrauterine disorders. Major breakthroughs in this field have been the introduction of the use of continuous flow hysteroscopy. We describe the recent development of the new generation continuous flow hysteroscope and our experience of the first 91 continuous flow hysteroscopies in paracervical block at our outpatient clinic. The problems of mucus, blood and debris, which earlier could disturbingly blur the vision when using CO2 as distension medium, have now been overcome with the new generation continuous flow hysteroscope. During the period from 1 February to 31 July 1994 we performed in paracervical block 91 continuous flow hysteroscopies at our outpatient clinic. We experienced no failure in the examinations, and had no complications. We found normal uterine cavity in 53% of the patients, macroscopic pathology in 44% and in 3% of the patients a missed intrauterine device was located in the uterine cavity.
一种用于宫腔镜检查子宫腔的新技术显著提高了诊断子宫内疾病的准确性。该领域的重大突破是引入了连续流动宫腔镜检查法。我们描述了新一代连续流动宫腔镜的最新进展以及我们在门诊对91例采用宫颈旁阻滞的连续流动宫腔镜检查的经验。使用二氧化碳作为膨胀介质时，黏液、血液和碎屑等问题早期会令人烦恼地模糊视野，而新一代连续流动宫腔镜现已克服了这些问题。在1994年2月1日至7月31日期间，我们在门诊对91例患者进行了宫颈旁阻滞下的连续流动宫腔镜检查。我们的检查没有失败，也没有出现并发症。我们发现53%的患者子宫腔正常，44%有宏观病理学改变，3%的患者子宫腔内有遗漏的宫内节育器。
