门诊宫腔镜检查的阴道镜检查方法。

Vaginoscopic approach to outpatient hysteroscopy.

作者信息

Paschopoulos M, Paraskevaidis E, Stefanidis K, Kofinas G, Lolis D

机构信息

Department of Obstetrics and Gynecology, University of Ioannina, Ioannina, Greece.

出版信息

J Am Assoc Gynecol Laparosc. 1997 Aug;4(4):465-7. doi: 10.1016/s1074-3804(05)80040-4.

DOI:10.1016/s1074-3804(05)80040-4

PMID:9224581

Abstract

STUDY OBJECTIVE

To evaluate a new method of outpatient hysteroscopy.

DESIGN

Prospective observational study.

SETTING

Departments of Obstetrics and Gynecology, Medical School of Ioannina, Greece, and Brooklyn Hospital Center, Brooklyn, New York.

PATIENTS

Three hundred twenty-four women, 316 of whom were symptomatic and 8 asymptomatic.

INTERVENTIONS

Hysteroscopic vaginoscopy with directed endometrial biopsies.

MEASUREMENTS AND MAIN RESULTS

The procedure was successful and well tolerated in 211 (65%) women. In 90 (27.9%) women, the procedure was successful but with significant pelvic pain, and in the remaining 23 (7.1%) it was complicated by either vagal reaction or complete intolerance. Hysteroscopic findings were in agreement with histopathologic results in 290 (89.5%) patients. In all 12 women with endometrial adenocarcinoma, hysteroscopic findings were identical with histopathologic results.

CONCLUSION

The vaginoscopic approach is effective for outpatient hysteroscopy.

摘要

研究目的

评估一种门诊宫腔镜检查的新方法。

设计

前瞻性观察性研究。

地点

希腊约阿尼纳医学院妇产科以及纽约布鲁克林布鲁克林医院中心。

患者

324名女性，其中316名有症状，8名无症状。

干预措施

宫腔镜阴道镜检查并进行靶向子宫内膜活检。

测量指标及主要结果

该手术在211名（65%）女性中成功实施且耐受性良好。在90名（27.9%）女性中，手术成功但伴有明显盆腔疼痛，其余23名（7.1%）则出现迷走神经反应或完全不耐受等并发症。宫腔镜检查结果与组织病理学结果在290名（89.5%）患者中相符。在所有12名子宫内膜腺癌患者中，宫腔镜检查结果与组织病理学结果一致。