堵宫器在宫腔镜操作技术中应用的可行性研究  

Feasibility Study of the Use of Uterus Blocker in Hysteroscopy Operation Technique

作　　者：鲁成林 徐国珍 周琦[2] LU Chenglin;XU Guozhen;ZHOU Qi(Department of Gynecology,Xiaogan Maternal and Child Health Hospital,Xiaogan Hubei 432000,China;Department of Gynecology,Xiaogan Central Hospital,Xiaogan Hubei 432000,China)

机构地区：[1]孝感市妇幼保健院妇科,湖北孝感432000 [2]孝感市中心医院妇科,湖北孝感432000

出　　处：《中国继续医学教育》2018年第28期77-79,共3页China Continuing Medical Education

摘　　要：目的探讨堵宫器在宫腔镜操作技术中应用的可行性。方法选取2017年10月10日—2018年3月10日在我院行宫腔镜技术操作的148例患者作为研究对象,将患者分为两组,两组分别为应用堵宫器组(A组)74例和对比组(B组)74例。分别记录两组患者的年龄、疾病、宫颈软化情况、是否使用堵宫器、宫腔镜操作项目、术前准备时间、膨宫效果、膨宫液用量、手术时间、操作者姿势、手术并发症。结果两组术前准备时间对比,差异无统计学意义(P> 0.05);堵宫器组膨宫效果满意度(97.30%)高于对比组(83.78%),差异具有统计学意义(P <0.05);堵宫器组的手术时间(11.50±4.91)min,短于对比组的(14.71±7.27)min,差异具有统计学意义(P <0.05);堵宫器组膨宫液用量(1 075.34±425.83)ml,少于对比组(1 405.48±699.38)ml,差异具有统计学意义(P <0.05);堵宫器组操作者舒适度(97.30%)高于对比组(89.19%),差异具有统计学意义(P <0.05);两组手术并发症的发生率对比,差异无统计学意义(P> 0.05)。结论堵宫器在宫腔镜操作技术中的应用简单、方便,能达到较为满意的膨宫效果,实现较为清晰的手术视野,缩短手术操作时间,手术并发症的发生率未增高,操作者姿势舒适,安全可靠,是可行的。Objective To investigate the feasibility of applying the uterus blocker in hysteroscope operation technology. Methods 148 patients who underwent hysteroscopy in our hospital from October 10, 2017 to March 10, 2018 were selected as the study subjects. The patients were divided into two groups, 74 cases in group A and 74 cases in group B. Age, disease, cervical softening, uterine occluder, hysteroscopic procedures, preoperative preparation time, dilatation effect, volume of dilatation fuid, operation time, operator posture and complications were recorded. Results There was no signifcant difference in the preoperative preparation time between the two groups （P 〉 0.05）. The satisfaction rate of the swelling effect in the uterus blocker group （97.30%） was higher than that in the control group （83.78%）, the difference was statistically signifcant （P 〈 0.05）. The operative time of the uterus blocker group was shorter （11.50±4.91） min than that of the control group （14.71±7.27） min, the difference was statistically signifcant （P 〈 0.05）. The amount of swelling fuid used in the blocker group was （1 075.34±425.83） ml was less than the comparison group （1 405.48±699.38） ml, the difference was statistically signifcant （P 〈 0.05）. The comfort of the uterine occluder group （97.30%） was higher than that of the control group （89.19%）. The difference was statistically significant （P 〈 0.05）. There was no significant difference in the incidence of operative complications between the two groups （P 〉 0.05）. Conclusion The application of uterine occluder in hysteroscopy is simple and convenient, which can achieve satisfactory dilatation effect, achieve a clearer surgical field of vision, shorten the operation time, the incidence of surgical complications is not increased, and the operator＇s posture is comfortable, safe and reliable.

关 键 词：堵宫器 宫腔镜 膨宫效果 视野 膨宫液 宫颈口松弛 

分 类 号：R713[医药卫生—妇产科学]