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目的评价阴道内镜技术应用于门诊宫腔镜检查中的可行性、优势和局限性。方法 2015年5月至10月对北京天坛医院行宫腔镜检查的患者,不使用任何麻醉和镇痛,采用阴道内镜技术进行宫腔镜检查,计算其成功率、患者的视觉模拟量表(VAS)疼痛评分、失败原因分析、失败人群构成分析(年龄、孕产次、分娩方式、绝经、痛经),以寻找阴道内镜的适合人群。结果 103例患者进行阴道内镜检查,成功率72.82%,VAS评分的中位数为2,失败的主要原因是宫腔镜不能通过宫颈内口,使用Logistic回归分析年龄、剖宫产史、绝经状态、痛经、阴道分娩史、阴道分娩次数与阴道内镜的成功率均无相关性。结论阴道内镜技术进行宫腔镜检查具有较高的成功率,减轻了患者的疼痛,适用人群广泛,可作为门诊宫腔镜检查的操作方式之一。
Objective To evaluate the feasibility, advantages and limitations of vaginal endoscopy in the hysteroscopy of clinic. Methods From May to October 2015, patients undergoing hysteroscopy in Beijing Tiantan Hospital were treated with hysteroscopy with vaginal endoscopy without any anesthesia and analgesia, and their success rates were calculated. The patients’ visual analog scale VAS) pain score, failure analysis, failure population composition analysis (age, parity, mode of delivery, menopause, dysmenorrhea), in order to find a suitable crowd for vaginal endoscopy. Results 103 cases of vaginal endoscopy, the success rate of 72.82%, VAS score of 2, the main reason for the failure of hysteroscopy can not pass through the mouth of the cervix, the use of Logistic regression analysis of age, history of cesarean section, menopause Dysmenorrhea, vaginal delivery history, the number of vaginal delivery and the success rate of vaginal endoscopy were not related. Conclusions Vaginal endoscopy hysteroscopy has a high success rate, reducing the patient ’s pain, suitable for a wide range of people, can be used as a clinic hysteroscopy one of the modes of operation.