Brandner P, Neis K J
Caritas-Clinic St. Theresia, Department of Gynecology and Obstetrics, School of Midwifery, Saarbrücken, Germany.
Int Surg. 1996 Jul-Sep;81(3):259-65.
In infertility therapy operative hysteroscopy by means of high-frequency surgery has replaced laparotomy in many cases. Thus today the therapy of intrauterine synechias, septa and myoma is a major sector in hysteroscopic metroplasty. Uterine haemorrhage is another area of indications for transcervical high-frequency surgery. In menstrual disorders caused by polyps, submucous myoma or without any anatomic reason transcervical electrosurgery helps to avoid more and more hysterectomies. The increasing importance of this method becomes obvious in the 1991-AAGL-Survey according to which within three years the number of operative hysteroscopies has risen to 17,298, thus doubled within this period of time. The present article based on literature and personal experience gives an overview of technical equipment available, complications, operative technics and risks. Furthermore, the frequency of success and complications of transcervical resectoscopic surgery are also discussed.
在不孕治疗中，借助高频手术的宫腔镜手术在许多情况下已取代了剖腹手术。因此，如今宫腔粘连、纵隔和肌瘤的治疗是宫腔镜子宫成形术的一个主要领域。子宫出血是经宫颈高频手术的另一个适应证领域。对于由息肉、黏膜下肌瘤引起的月经紊乱或无任何解剖学原因的月经紊乱，经宫颈电外科手术有助于越来越多地避免子宫切除术。1991年美国妇科腹腔镜医师协会的调查显示了这种方法日益增长的重要性，据此在三年内宫腔镜手术的数量已增至17298例，在此期间翻了一番。本文基于文献和个人经验，概述了可用的技术设备、并发症、手术技术和风险。此外，还讨论了经宫颈电切镜手术的成功率和并发症发生率。
