頁籤選單縮合
題 名 | Comparison of the Efficacy of Diagnosis with Carbon Dioxide and Fluid Hysteroscopy=二氧化碳與液體子宮鏡在門診診斷之比較 |
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作 者 | 阮志偉; 史麗珠; 王錦榮; 李奇龍; 顏正峰; 朱僑光; 張舜智; 宋永魁; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:3 1999.09[民88.09] |
頁 次 | 頁81-86 |
分類號 | 417.142 |
關鍵詞 | 二氧化碳子宮鏡; 液體性子宮鏡; 診斷性子宮鏡; Carbon dioxide hysteroscopy; Fluid hysteroscopy; Diagnostic hysteroscopy; |
語 文 | 英文(English) |
中文摘要 | 目的:雖然子宮鏡手術已發明多年,但最近才廣泛地被婦產科醫生使用。不同的子宮腔撐開物有不同的效果和不同的併發症。本研究的目的是比較二氧化碳和液體子宮鏡在門診診斷的效益。 方法:從1996年6月至1996年12月,97位病人在門診做診斷性子宮鏡。受診的原因主要為子宮病變。每位病人先以二氧化碳子宮鏡,再用液體性子宮鏡作檢查,以比較兩者的清晰度,操作時間等。 結果:53位(54.6%)位病人其檢查所見正常。在97位病人中,有64位(66.0%)同時可以二氧化碳及液體性子宮鏡得到清晰的影像,但有5位(5.2%)病人,使用二氧化碳子宮鏡可得到清晰的影像,而使用液體性子宮鏡時產生模糊的影像。在操作時間方面,用二氧化碳子宮鏡的平均操作時間比液體性子宮鏡來得短。兩種方法均無併發症出現。 結論:以熟練的技巧操作二氧化碳子宮鏡,其影像優於液體性子宮鏡。二氧化碳性子宮鏡可節省操作時間,及避免要監視液體進出之不便和灌注過多液體於體內的危險。診斷性二氧化碳子宮鏡可提供清潔、簡便、安全、迅速方法,可作為診斷重要的利器。 |
英文摘要 | OBJECTIVES: Hysteroscopy is now widely used by gynecologists. Some distention media have the potential for complications and problems of efficacy. This study compares the efficacy of carbon dioxide (CO��) versus fluid (Dextrose 10% water) hysteroscopy and determines the more suitable hysteroscopic medium for outpatient clinical diagnosis. METHODS: From june to December 1996, 97 women with uterine problems successfully received CO�� hysteroscopy followed by fluid hysteroscopy. Paracervical anesthesia was used. The visibility afforded by and time required for these two hysteroscopic procedures were compared. RESULTS: Fifty-three patients (54.6%) were diagnosed as having normal hysteroscopic findings. Menorrhagia (n=37,38.1%) was the most common indication for the procedure. In the whole series, clear visibility was obtained with both CO�� and fluid media in 64 (66.0%) cases, while in 5 (5.2%) cases clear visibility was only obtained with CO�� medium. The time required to perform CO�� hysteroscopy was shorter than when using fluid. No complications occurred during the study. CONCLUSIONS: With proper methods, the visibility of CO�� hysteroscopy is superior to that of fluid hysteroscopy CO�� hysteroscopy can save time and avoid the inconvenience of fluid monitoring and the risk of fluid overloading during fluid hysteroscopy. Diagnostic outpatient CO�� hysteroscopy provides a neat, simple, safe, and rapid tool for the preliminary diagnosis of intrauterine pathology in a gynecology outpatient department. |
本系統中英文摘要資訊取自各篇刊載內容。