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本院自1980年11月起的十个月内,对疑有子宫疾病的53例作了CO_2宫腔镜检查,除2例检查失败外,余者检查成功。镜检无异常发现者32例,其中误诊4例,镜检发现病变者19例,与以后活组织的检查结果均相符合。本组病例在检查过程中均未发生血压和心率的明显改变。28例作了心电图监护,也未发生异常改变。37例在镜检前后作了血液CO_2CP测定,虽22例CO_2CP有不同程度的下降,但在临床上均未见有酸中毒现象。本组有3例(占5.7％),发生CO_2入血管现象,经对症处理后,症状消失迅速。无发生感染、出血或子宫穿孔等并发症。本文讨论了CO_2作为扩宫介质的优点。经过临床使用,证实了CO_2官腔镜为一安全、有效的诊断工具。
Our hospital from November 1980 onwards within ten months, suspected uterine disease 53 cases of CO 2 hysteroscopy, in addition to two cases failed, the other was successful. No abnormality was found in 32 cases of microscopic examination, of which 4 cases were misdiagnosed, microscopic examination showed lesions in 19 cases, and later biopsy findings are consistent. No significant changes in blood pressure and heart rate occurred in this group of patients during the examination. 28 cases made ECG monitoring, nor abnormal changes. Thirty-seven patients underwent blood CO_2CP determination before and after microscopic examination. Although 22 cases of CO_2CP had different degrees of decline, no acidosis was observed clinically. The group of 3 patients (5.7%), the occurrence of CO_2 into the blood vessels, symptomatic treatment, the symptoms disappear rapidly. No infection, bleeding or uterine perforation and other complications. This article discusses the advantages of CO_2 as a dilation medium. After clinical use, confirmed CO_2 luminal mirror as a safe and effective diagnostic tool.