阴道内镜技术在宫腔镜检查中的临床应用研究

发布时间：2018-10-10 11:27

【摘要】：目的评价阴道内镜技术应用于门诊宫腔镜检查中的可行性、优势和局限性。方法 2015年5月至10月对北京天坛医院行宫腔镜检查的患者,不使用任何麻醉和镇痛,采用阴道内镜技术进行宫腔镜检查,计算其成功率、患者的视觉模拟量表(VAS)疼痛评分、失败原因分析、失败人群构成分析(年龄、孕产次、分娩方式、绝经、痛经),以寻找阴道内镜的适合人群。结果 103例患者进行阴道内镜检查,成功率72.82%,VAS评分的中位数为2,失败的主要原因是宫腔镜不能通过宫颈内口,使用Logistic回归分析年龄、剖宫产史、绝经状态、痛经、阴道分娩史、阴道分娩次数与阴道内镜的成功率均无相关性。结论阴道内镜技术进行宫腔镜检查具有较高的成功率,减轻了患者的疼痛,适用人群广泛,可作为门诊宫腔镜检查的操作方式之一。
[Abstract]:Objective to evaluate the feasibility, advantages and limitations of vaginal endoscopy in outpatient hysteroscopy. Methods from May to October, 2015, the patients who underwent hysteroscopy at Temple of Heaven Hospital in Beijing were examined by hysteroscopy without any anesthesia and analgesia. The success rate was calculated by vaginal endoscopy, and the (VAS) pain score of the patients was evaluated by visual analogue scale. Failure cause analysis, failure population composition analysis (age, pregnancy, delivery, menopause, dysmenorrhea) to find a suitable population for vaginal endoscopy. Results Endoscopic vaginal examination was performed in 103 patients. The median success rate of 72.82 VAS was 2. The main reason for the failure was that hysteroscopy could not pass through the cervix, Logistic regression analysis was used to analyze age, history of cesarean section, menopause, dysmenorrhea, history of vaginal delivery. There was no correlation between the frequency of vaginal delivery and the success rate of vaginal endoscopy. Conclusion the technique of vaginal endoscopy has a high success rate and alleviates the pain of the patients. It is suitable for a wide range of people and can be used as one of the operative methods of outpatient hysteroscopy.
【作者单位】：北京市门头沟区医院妇产科;首都医科大学附属北京天坛医院妇产科;内蒙古锡林郭勒盟太仆寺旗医院妇产科;
【分类号】：R713

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