| The value of outpatient non-anesthesia vaginal endoscopic technique for uterine lesions in postmenopausal women |
| Received:November 30, 2021 Revised:March 31, 2022 Click here to download the full text |
| Citation of this paper:XIE Feng,SHANG Shuang,GAO Shu-jun,ZHANG Hong-wei,DU Ming,DONG Jing.The value of outpatient non-anesthesia vaginal endoscopic technique for uterine lesions in postmenopausal women[J].Chinese Journal of Clinical Medicine,2022,29(3):459-463 |
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| Author Name | Affiliation | E-mail | | XIE Feng | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | | | SHANG Shuang | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | | | GAO Shu-jun | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | | | ZHANG Hong-wei | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | | | DU Ming | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | | | DONG Jing | The Center for Diagnosis and Treatment of Early Cervical and Vaginal Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China | dongjing1372@fckyy.org.cn |
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| Abstract:Objective To explore the value of outpatient non-anesthesia vaginal endoscopic technique for uterine lesions in postmenopausal women. Methods 96 postmenopausal patients treated by outpatient hysteroscopy from January 2016 to January 2021 in Obstetrics and Gynecology Hospital of Fudan University were retrospectively analyzed, including 47 cases of vaginal endoscopy and 49 cases of traditional hysteroscopy. The two groups were compared with the operation time、the amount of bleeding, the amount of the distension fluid, creation of a false passage, the incidence of failure, patient pain score, incidence of complications and patients' post- surgery recovery. Results For cases with surgery time less than 10 minutes (86% vs 61%)、intraoperative bleeding less than 3 mL(93% vs 73%), mild pain (VAS score ≤ 3, 83% vs 63%), the duration of postoperative pain less than 2 hours (93% vs 71%), postoperative bleeding duration less than 7 days (98% vs 82%), surgical failure(11% vs 0), the ratio of which were higher in the vaginal endoscopy group than in the traditional hysteroscopy group, statistically significant (P<0.05). For cases of nausea/vomiting(9% vs 29%), abnormal heart rate/blood pressure(12% vs 31%),the ratio of which were lower in the vaginal endoscopy group than in the traditional hysteroscopy, statistically significant (P<0.05). There was no significant difference in the amount of the distension fluid and creation of a false passage between the two groups. Conclusions Vaginal endoscopy technology is more minimally invasive and safer than traditional hysteroscopy with a certain failure rate. For postmenopausal female with intrauterine lesions, outpatient non-anesthesia vaginal endoscopy can be recommended as an examination method prior to the traditional hysteroscopy. |
| keywords:vaginal endoscopy traditional hysteroscopy intrauterine lesions |
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