Preutthipan S, Linasmita V, Theppisai U
Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
J Med Assoc Thai. 1997 Sep;80(9):575-9.
This report summarizes the diagnostic hysteroscopic experience with 125 selected patients. The procedures were all performed under propofol anesthesia. The main indications for diagnostic hysteroscopy were infertility with suspected intrauterine lesions and abnormal uterine bleeding in premenopausal women. The procedures were successful in 123 (98.4%) patients. Cervical dilatation was required in 35 (28%) patients. Of the 125 diagnostic examinations, 91 (72.80%) had intrauterine abnormalities. This result showed that an important factor that appears to influence the prevalence of pathology are the gynecological problems and/or symptoms of the patients. The commonest finding in patients with infertility was intrauterine adhesions, whereas, endometrial polyps was the most common finding found in premenopausal women with abnormal uterine bleeding. There was no complication attributable to this procedure. Our experience suggests that the efficacy and safety of this procedure depend on proper selection of patients, type of anesthesia, the medium for uterine distention, and most importantly the experience of the operator.
本报告总结了125例选定患者的诊断性宫腔镜检查经验。所有手术均在丙泊酚麻醉下进行。诊断性宫腔镜检查的主要指征为怀疑有宫内病变的不孕症和绝经前妇女的异常子宫出血。123例（98.4%）患者手术成功。35例（28%）患者需要宫颈扩张。在125例诊断性检查中，91例（72.80%）有宫内异常。该结果表明，影响病理发生率的一个重要因素是患者的妇科问题和/或症状。不孕症患者最常见的发现是宫腔粘连，而子宫内膜息肉是绝经前异常子宫出血妇女最常见的发现。该手术没有并发症。我们的经验表明，该手术的有效性和安全性取决于患者的正确选择、麻醉类型、子宫扩张介质，最重要的是手术者的经验。
