Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode
Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode
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DOI：
10.1093/humrep/17.9.2435
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发表时间：
2002-09-01
影响因子：
6.1
通讯作者：
Nappi, L
中科院分区：
文献类型：
--
作者：
Bettocchi, S;Ceci, O;Nappi, L
背景：本研究的目的是评估一种新型双极探针用于宫腔镜治疗良性宫内病变的治疗效果和患者的可接受性。方法：在这项观察性临床研究中，501名女性接受宫腔镜手术治疗良性宫内病变，无镇痛或麻醉。verspoint 5fr双极发电机用于治疗0.5 - 4.5 cm的子宫内膜息肉，以及0.6 - 2.0 cm的粘膜下和部分壁内肌瘤。观察治疗效果及患者依从性。结果：随访时，所有患者子宫腔正常，无复发或病理持续。一个局灶性腺癌是在组织学上发现的子宫内膜息肉的更年期患者。患者接受情况令人满意；47.6-79.3%的患者无不适。结论：新一代小直径宫腔镜和新型双极5fr电极的结合使妇科医生能够在办公室环境中治疗子宫内病变而无需麻醉。一种特殊的发电机装置的实验减少了病人在宫腔镜手术过程中的不适。
BACKGROUND: The aim of this study was to evaluate treatment efficacy and patient acceptability of a new bipolar probe used during office hysteroscopic treatment of benign intrauterine pathologies. METHODS: In this observational clinical study, 501 women were treated for benign intrauterine pathologies using an office hysteroscopic procedure, without analgesia or anaesthesia. A Versapoint 5 Fr. bipolar electrical generator was used to treat endometrial polyps ranging between 0.5 and 4.5 cm, as well as submucosal and partially intramural myomas between 0.6 and 2.0 cm. Treatment efficacy and patient compliance were evaluated. RESULTS: At follow-up, the uterine cavity was normal in all patients without any recurrence or persistence of the pathology. One focal adenocarcinoma was discovered at histology in an endometrial polyp of a menopausal patient. Patient acceptance was satisfactory; 47.6-79.3% of the patients underwent the procedure without discomfort. CONCLUSIONS: The combination of a new generation small diameter hysteroscope and a new bipolar 5 Fr. electrode enables the gynaecologist to treat intrauterine pathologies in an office setting without anaesthesia. Experimentation of a special set-up of the electrical generator reduced patient discomfort during the operative part of the hysteroscopic procedure.