Fluid Uptake in Laser Endometrial Ablation
Fluid Uptake in Laser Endometrial Ablation
复制标题
激光子宫内膜去除术中的液体摄取
DOI：
10.1177/0310057x9101900211
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发表时间：
1991
影响因子：
1.5
通讯作者：
P. Moran
中科院分区：
文献类型：
--
作者：
G. A. Osborne;G. Rudkin;P. Moran
连续25例患者在全麻下行激光子宫内膜消融术，根据术前和术后患者的准确体重测量液体摄取量。1例子宫穿孔，腹膜腔内积液5.1升。在其余24例中，最大液体摄取量为5.1升，3例患者的液体摄入量超过4升，8例患者的液体摄入量超过2升。在同一24例患者中，平均液体摄取量为1.5升(SD 1.6)，其中6例未结扎输卵管的患者平均液体摄取量(2.2升，SD 1.7)高于18例手术闭塞输卵管的患者(1.3升，SD 1.4)，但差异无统计学意义。液体摄取在这一过程中有可能导致严重的并发症。手术时间和子宫灌洗液的量都不能很好地预测液体的增加。观察输液和收集的液体之间持续的容量不足，可以在术中监测液体的增加，从而预防健康患者因液体超载而产生的并发症。然而，如果甘氨酸用于冲洗，这种监测液体摄取的方法可能不足以防止甘氨酸吸收的并发症，也不足以防止心脏病患者的液体超载。
Fluid uptake was measured from accurate preoperative and postoperative patient weights for 25 consecutive patients undergoing Nd: YAG laser endometrial ablation under general anaesthesia. One patient had a uterine perforation with 5.1 litres of fluid deposited in the peritoneal cavity. In the remaining 24 cases, maximum fluid uptake was 5.1 litres, three patients absorbed more than four litres and eight absorbed more than two litres. In those same 24 patients, the mean fluid uptake was 1.5 litres (SD 1.6) and six patients without tubal ligation had a higher mean uptake (2.2 litres, SD 1.7) than the eighteen with surgically occluded Fallopian tubes (1.3 litres, SD 1.4) but the difference was not statistically significant. Fluid uptake has the potential to cause significant morbidity in this procedure. Both procedure duration and volume of uterine irrigation fluid were poor predictors of fluid gain. Observation of the ongoing volume deficit between infused and collected fluid provided intraoperative monitoring of fluid gain that prevented complications from fluid overload in healthy patients. However, this method of monitoring fluid uptake may be insufficient to prevent either complications from glycine absorption, if glycine is used for irrigation, or fluid overload in patients with cardiac disease.