Tolerability and cardiovascular complications of outpatient diagnostic minihysteroscopy compared with conventional hysteroscopy
Tolerability and cardiovascular complications of outpatient diagnostic minihysteroscopy compared with conventional hysteroscopy
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DOI：
10.1016/s1074-3804(05)60272-1
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发表时间：
2003-08-01
期刊：
影响因子：
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通讯作者：
Di Naro, E
中科院分区：
文献类型：
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作者：
Cicinelli, E;Schönauer, LM;Di Naro, E
研究目的。目的：比较微型宫腔镜与传统宫腔镜行宫腔镜检查的可接受性和心血管并发症。前瞻性随机临床试验（加拿大工作组分类1）。学术研究中心。病人。100例异常子宫出血的妇女。干预措施。在无麻醉下使用3.5mm微型宫腔镜或传统5 mm内窥镜进行宫腔镜检查。测量结果和主要结果。记录检查持续时间、疼痛和血管迷走神经反应的发生率。在手术前（疼痛预期）和手术结束时，通过视觉模拟量表评估疼痛，范围为0至20。通过在手术过程中每隔1分钟监测血压和脉率来评估血管迷走神经反应的发生率。心率低于60/分钟或与基线相比降低超过20%被认为是血管迷走神经反应;同样，血压降低超过基线值20%被认为是迷走神经刺激的结果。微型宫腔镜的平均持续时间短于传统宫腔镜。在微型宫腔镜检查过程中经历的平均（SD）疼痛水平也显著降低（0.76 +/- 0.65 vs 1.46 +/- 0.86，95%CI-1.0-0.4，p
Study Objective. To assess acceptability and cardiovascular complications of hysteroscopy performed with minihysteroscopes compared with those performed with conventional hysteroscopes.Design. Prospective, randomized clinical trial (Canadian Task Force classification 1).Setting. Academic research center.Patients. One hundred women with abnormal uterine bleeding.Interventions. Hysteroscopy with a 3.5-mm minihysteroscope or conventional 5-mm endoscope with no anesthesia.Measurements and Main Results. Duration of examinations, pain, and occurrence of vasovagal reactions were recorded. Pain was assessed by visual analog scale ranging from zero to 20 before (pain expectancy) and at the end of the procedure. Occurrence of vasovagal reactions was assessed by monitoring blood pressure and pulse rate at 1-minute intervals during the procedure. A heart rate of less than 60/minute or a reduction greater than 20% compared with baseline was considered a vasovagal reaction; similarly, a reduction in blood pressure exceeding baseline value by 20% was considered a result of vagal stimulation. Mean duration was shorter for minihysteroscopy than for conventional hysteroscopy. The mean (SD) level of pain experienced during minihysteroscopy also was significantly lower (0.76 +/- 0.65 vs 1.46 +/- 0.86, 95% Cl-1.0-0.4, p