Kudela M, Lubuský D, Dzvincuk P
Gynek.-porod. klinika LF UP a FN, Olomouc.
Ceska Gynekol. 1996 Oct;61(5):291-3.
At present increasingly liquid media are preferred to gaseous ones in hysteroscopic procedures. In operations the former media are used almost exclusively. The use of liquid media involves, however, some risks, the greatest one being the so-called fluid overload syndrome. It develops as a result of overload and upset of the milieu interior due to excessive escape of the distension medium. Medium escapes also via the oviducts into the peritoneal cavity. It is therefore necessary to adhere to safety measures which include in particular selection of a suitable medium, the time factor, correct surgical procedure and specially continuous control of consumption of the medium.
目前，在宫腔镜手术中，越来越倾向于使用液体介质而非气体介质。在手术中，几乎只使用前者。然而，使用液体介质存在一些风险，其中最大的风险是所谓的液体超负荷综合征。它是由于扩张介质过度逸出导致体内环境超负荷和紊乱而产生的。介质也会通过输卵管进入腹腔。因此，必须遵守安全措施，尤其包括选择合适的介质、时间因素、正确的手术操作以及特别要持续控制介质的消耗量。
