Busquets M, Lemus M
Servicio de Obstetricia y Ginecología, Hospital del Salvador, Universidad de Chile.
Rev Chil Obstet Ginecol. 1993;58(2):113-8.
Between 1987 and 1990, Diagnostic Panoramic Hysteroscopies with CO2 as distending medium was proposed in 890 cases. Age groups, complications and failures are discussed. The notion of "insufficient" hysteroscopy is defined as well as the attitude toward this situation. A technique, vaginoscopy is described, making possible to perform the examination in patients that never had sexual intercourse or senile patients. Vaginoscopy and repetitive hysteroscopy after the first hysteroscopy found insufficient are important tools to achieve good diagnosis and fewer than 1% failure of the procedure among patients with narrow introitus.
1987年至1990年间，890例患者接受了以二氧化碳作为膨胀介质的诊断性全景宫腔镜检查。文中讨论了年龄组、并发症及失败情况。定义了“不充分”宫腔镜检查的概念以及针对这种情况的处理态度。介绍了一种阴道镜检查技术，该技术使得对从未有过性行为的患者或老年患者进行检查成为可能。阴道镜检查以及首次宫腔镜检查发现不充分后进行的重复性宫腔镜检查，是实现良好诊断且使阴道口狭窄患者手术失败率低于1%的重要手段。
